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MARK RICHARD WALLACE DC
NPI 1932367539
Chiropractor in Overland Park, KS

Active since May 30, 2008
9337 W 75TH ST, OVERLAND PARK, KS 66204(913) 722-3200(913) 432-8392 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Richard Wallace Dc NPPES

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

MARK RICHARD WALLACE DC (NPI 1932367539) is an individual chiropractor in Overland Park, Kansas, licensed in Kansas (04348) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1932367539
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARK RICHARD WALLACECredential: DC
Location Address9337 W 75TH STOverland Park, KS 66204
Mailing Address9337 W 75th StOverland Park, KS 66204 · (913) 722-3200 · Fax (913) 432-8392
Phone(913) 722-3200
Fax(913) 432-8392
Sole ProprietorYes
Enumeration DateMay 30, 2008
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1932367539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in KS · 04348✔ Licensed in MO · 6478
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.
9337 W 75TH ST, Overland Park, KS 66204
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Other Identifiers 2

Other1063617918KS · Npi
Medicare PINKA1154001KS

Other Providers at the Same Location NPPES 2

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

WALLACE CHIROPRACTIC & NUTRITION CLINIC
Chiropractor
9337 W 75TH ST
OVERLAND PARK, KS 66204
Johnson County (913) 722-3200
DR. BENJAMIN ALLAN HENNING D.C.
Chiropractor
9337 W 75TH ST
OVERLAND PARK, KS 66204
Johnson County (913) 424-3811

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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1932367539. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Mark Wallace located?

Mark Wallace practices at 9337 W 75th St, Overland Park, KS 66204. The listed phone number is (913) 722-3200.

What is Mark 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 Mark Wallace was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.