DR. JAMES THOMAS WALLACE (NPI# 1487744751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487744751 |
| Entity Type | Individual |
| Full Name | DR. JAMES THOMAS WALLACE |
| Credential | D.C. |
| Practice Address |
1190 Cross St Se Salem OR 97302-2924 |
| Practice Telephone | 5035811801 |
| Practice Fax Number | 5034854320 |
| Mailing Telephone | 5035811801 |
| Mailing Fax Number | 5034854320 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3044 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500632532 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226005 | James D Wallace | Technician | 67 Don Dale Dr, Foster, WV 25081 | 2020-08-20 |
| 1982173571 | James Preston Wallace II | Clinic/Center | 6234 Castlegate Dr W Apt 8112, Castle Rock, CO 80108-8655 | 2018-11-13 |
| 1356686877 | James Steven Wallace | Physical Therapy Assistant | 449 Main St Apt 131, Anderson, IN 46016-1186 | 2012-12-10 |
| 1033400999 | James Wallace | Durable Medical Equipment & Medical Supplies | 593 Bramlett Way, Powder Springs, GA 30127 | 2011-04-27 |
| 1841591559 | James Leeman Wallace | Massage Therapist | 29650 Sw Courtside Dr, #14, Wilsonville, OR 97070-7482 | 2010-11-11 |
| 1992023212 | James Joseph Wallace | Specialist | 154 Sugar Cane Dr, Hartwell, GA 30643-8120 | 2010-05-11 |
| 1538338413 | James Christopher Wallace | Military Health Care Provider | Uss Ross, Ddg 71, Fpo, AE 09586-1288 | 2008-02-26 |
| 1568664274 | James Christopher Wallace | Emergency Medical Technician, Basic | Cgc Chase (whec-718) Fpo Ap 96662-3932 32nd St, San Diego, CA 92106 | 2007-06-04 |
| 1760683924 | James G Wallace Jr. | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2007-05-29 |
| 1922143882 | James B Wallace Jr. | Dentist | 6618 Fm 2100, Crosby, TX 77532 | 2007-02-20 |
| Street Address |
1190 CROSS ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326493008 | Capitol Chiropractic | Chiropractor | 1190 Cross St Se, Salem, OR 97302-2924 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230385 | Shelton Chiropractic | Chiropractor | 428 N State Road 198 Ste B, Salem, UT 84653-4605 | 2020-09-22 |
| 1710549126 | Heisler Chiropractic LLC | Chiropractor | 803 W Scenic Rivers Blvd Ste B, Salem, MO 65560-2549 | 2019-07-05 |
| 1740751601 | Delena Jaelaine Brymer | Chiropractor | 7447 Stilson Ln S, Salem, OR 97306-9850 | 2018-12-17 |
| 1538639620 | The Good Place Nw, Inc | Chiropractor | 960 Broadway St Ne Ste 1, Salem, OR 97301-1275 | 2018-11-30 |
| 1982186607 | Jordan E Sajovic, PC | Chiropractor | 2150 Commercial St Se Bsmt Suite, Salem, OR 97302-5379 | 2018-08-29 |
| 1609353424 | Michael Gerard Cardinal | Chiropractor | 1100 Liberty St Se, Suite 2, Salem, OR 97302-9730 | 2018-07-24 |
| 1386146710 | Chiropractic 503 LLC | Chiropractor | 1645 12th St Se, Salem, OR 97302-2820 | 2018-03-01 |
| 1720586506 | Salem Chiropractic and Wellness Corporation | Chiropractor | 631 Jason St Ne, Salem, OR 97301 | 2018-01-26 |
| 1558801258 | Terrill Lane Phelps Jr. | Chiropractor | 591 N State Road 198, Salem, UT 84653-5668 | 2017-02-28 |
| 1821546367 | Danielle M Strawn | Chiropractor | 1201 N Ellsworth Ave, Salem, OH 44460-1539 | 2016-09-13 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.