Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DAVID RICHARD WALLACE MD
NPI 1619968146
Pediatrics in Lake Charles, LA

Active since November 03, 2005
2903 1ST AVE, LAKE CHARLES, LA 70601(337) 478-6480(337) 474-9637 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Richard Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID RICHARD WALLACE MD (NPI 1619968146) is an individual pediatrics provider in Lake Charles, Louisiana, licensed in Louisiana (015614) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1619968146
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DAVID RICHARD WALLACECredential: MD
Location Address2903 1ST AVELake Charles, LA 70601-8809
Mailing Address2903 1st AveLake Charles, LA 70601-8809 · (337) 478-6480 · Fax (337) 474-9637
Fax(337) 474-9637
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619968146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in LA · 015614
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2903 1ST AVE, Lake Charles, LA 70601

Other Identifiers 1

Medicaid1329762LA

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2903 1ST AVE
LAKE CHARLES, LA 70601
Pediatrics
2903 1ST AVE
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
2903 1ST AVE
LAKE CHARLES, LA 70601
Social Worker (Clinical)
2903 1ST AVE
LAKE CHARLES, LA 70601
Pharmacy (Clinic Pharmacy)
2903 1ST AVE
LAKE CHARLES, LA 70601
Pediatrics
2903 1ST AVE
LAKE CHARLES, LA 70601
Counselor (Mental Health)
2903 1ST AVE
LAKE CHARLES, LA 70601
Pediatrics
2903 1ST AVE
LAKE CHARLES, LA 70601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wallace's NPI number?

The NPI number for David Wallace is 1619968146. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is David Wallace located?

David Wallace practices at 2903 1st Ave, Lake Charles, LA 70601. The listed phone number is (337) 478-6480.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does David Wallace accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list David Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.