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MR. RICHARD DEAN WALLACE LICAC
NPI 1750458402
Nutritionist in Great Falls, MT

Active since November 29, 2006
914 13TH AVE SOUTH, GREAT FALLS, MT 59405(406) 761-3767(406) 761-3038 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard Dean Wallace Licac NPPES

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

MR. RICHARD DEAN WALLACE LICAC (NPI 1750458402) is an individual nutritionist in Great Falls, Montana, licensed in Montana (450) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750458402
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameMR. RICHARD DEAN WALLACECredential: LICAC
Location Address914 13TH AVE SOUTHGreat Falls, MT 59405
Mailing Address914 13th Ave SouthGreat Falls, MT 59405 · (406) 761-3767 · Fax (406) 761-3038
Phone(406) 761-3767
Fax(406) 761-3038
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1750458402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MT · 450
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 450 (MT)
Also ListedAcupuncturistTaxonomy 171100000X · License 162 (MT)

Other Names 1

Other Name (5)Mr. Richard Dean Wallace Rd

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 Richard Wallace's NPI number?

The NPI number for Richard Wallace is 1750458402. It was assigned to this individual provider in the NPPES registry on November 29, 2006. The provider is also known as Mr. Richard Dean Wallace Rd.

Where is Richard Wallace located?

Richard Wallace practices at 914 13th Ave South, Great Falls, MT 59405. The listed phone number is (406) 761-3767.

What is Richard Wallace's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Richard Wallace was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.