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NICOLE WALLACE DC, AVCA
NPI 1669326773
Chiropractor in Buffalo, NY

Active since February 25, 2026
2929 MAIN ST STE 2, BUFFALO, NY 14214(716) 472-2370 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Wallace Dc, Avca NPPES

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

NICOLE WALLACE DC, AVCA (NPI 1669326773) is an individual chiropractor in Buffalo, New York, licensed in New Hampshire (1611) and active in the NPI registry since February 2026. She maintains a secondary practice location in Portsmouth and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669326773
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameNICOLE WALLACECredential: DC, AVCA
Location Address2929 MAIN ST STE 2Buffalo, NY 14214-1877
Mailing Address4649 Seneca StWest Seneca, NY 14224-4925
Phone(716) 472-2370
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1669326773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NH · 1611
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2929 MAIN ST STE 2, Buffalo, NY 14214
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Secondary Practice Location 1

Location 18 Greenleaf Woods Dr Unit 203Portsmouth, NH 03801-5454 · Phone (603) 431-4200

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wallace Dc, Avca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921579335
PECOS Enrollment IDI20260607000125

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1669326773. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Nicole Wallace located?

Nicole Wallace practices at 2929 Main St Ste 2, Buffalo, NY 14214. The listed phone number is (716) 472-2370.

What is Nicole Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicole Wallace enrolled in Medicare?

Yes. Nicole Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Wallace was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.