DR. R. LARRY WALLACE D.C.
NPI 1821167800
Chiropractor in Artesia, NM

Active since November 06, 2006
612 W GRAND AVE, ARTESIA, NM 88210(505) 748-2700(505) 748-2700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. R. Larry Wallace D.c. NPPES

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

DR. R. LARRY WALLACE D.C. (NPI 1821167800) is an individual chiropractor in Artesia, New Mexico, licensed in New Mexico (1212) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821167800
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. R. LARRY WALLACECredential: D.C.
Location Address612 W GRAND AVEArtesia, NM 88210-2054
Mailing Address612 W Grand AveArtesia, NM 88210-2054 · (505) 748-2700 · Fax (505) 748-2700
Fax(505) 748-2700
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821167800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NM · 1212
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.
612 W GRAND AVE, Artesia, NM 88210

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 R. Wallace's NPI number?

The NPI number for R. Wallace is 1821167800. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is R. Wallace located?

R. Wallace practices at 612 W Grand Ave, Artesia, NM 88210. The listed phone number is (505) 748-2700.

What is R. Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for R. Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.