DR. STEPHEN B WALLER (NPI# 1891727269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891727269 |
Entity Type | Individual |
Full Name | DR. STEPHEN B WALLER |
Credential | D.C. |
Practice Address |
1121 Kinwest Pkwy Suite 100 Irving TX 75063-3135 |
Mailing Address |
Po Box 631907 Irving TX 75063-0038 |
Practice Telephone | 9725506190 |
Practice Fax Number | 9725506013 |
Mailing Telephone | 9725506190 |
Mailing Fax Number | 9725506013 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2016-11-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9828 | TX | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285678680 | Stephen C Waller | Physician Assistant | 6925 Shallowford Rd, Suite 206, Chattanooga, TN 37421-1787 | 2006-06-15 |
1477699205 | Stephen Frank Waller | Specialist | 333 N Rivershire Dr, Suite 265, Conroe, TX 77304-0001 | 2007-01-29 |
1043313968 | Stephen C Waller | Internal Medicine | 3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028, Kansas City, KS 66160 | 2006-09-06 |
1629057609 | Stephen Glenn Waller | Ophthalmology | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2006-01-10 |
Street Address |
1121 KINWEST PKWY SUITE 100 |
City | IRVING |
State | TX |
Zip Code | 75063-3135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124315775 | Waller Chiropractic, Inc. | Chiropractor | 1121 Kinwest Pkwy, Irving, TX 75063-3135 | 2011-07-05 |
1306152566 | Advanced Spinal Therapy | Chiropractor | 1121 Kinwest Pkwy, Ste 100, Irving, TX 75063-3135 | 2010-08-26 |
1689997264 | Total Body Rehab and Wellness | Chiropractor | 1121 Kinwest Pkwy, Ste: 100, Irving, TX 75063-3135 | 2010-03-10 |
1023249489 | Renewed Chiropractic and Wellness Center, Pllc | Chiropractor | 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 | 2009-08-04 |
1134355100 | Pinnacle Health Chiropractic | Chiropractor | 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 | 2009-06-04 |
1790944809 | St Onge Chiropractic & Sports Therapy | Chiropractor | 1121 Kinwest Pkwy, 100, Irving, TX 75063-3135 | 2008-06-04 |
1952598195 | Injury Assistance Centers, Inc. | Chiropractor | 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
Find all providers in zip 75063 |
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 |
---|---|---|---|---|
1790309987 | William Greenlee | Chiropractor | 647 E Royal Ln Apt 2017, Irving, TX 75039-3640 | 2020-06-03 |
1366081788 | Eric Louis Munoz | Chiropractor | 2240 Market Place Blvd Ste 160, Irving, TX 75063-8099 | 2020-01-02 |
1184105025 | Andrea Ibarra | Chiropractor | 501 Northwest Hwy Apt 1108, Irving, TX 75039-3619 | 2018-08-28 |
1962900902 | Caroline Evelyn Graham | Chiropractor | 800 W Airport Fwy Ste 810, Irving, TX 75062-6285 | 2018-01-24 |
1225549124 | Arrow Spine and Sport Pllc | Chiropractor | 3150 Premier Dr Ste 126, Irving, TX 75063-2672 | 2017-10-18 |
1043749922 | Leila Meredith Doolittle | Chiropractor | 600 E John Carpenter Fwy Ste 354, Irving, TX 75062-3990 | 2017-06-05 |
1932634672 | Superior Health & Wellness Center | Chiropractor | 1425 W Pioneer Dr Ste 112, Irving, TX 75061-7124 | 2017-05-01 |
1619412301 | Them Bones Chiropractic | Chiropractor | 10405 N Macarthur Blvd Apt 315, Irving, TX 75063-7748 | 2017-01-04 |
1508314022 | Michael Kale Allison | Chiropractor | 825 W Royal Ln Ste 240, Irving, TX 75039-3901 | 2016-09-13 |
1942657309 | Manuel Nunez | Chiropractor | 105 Decker Ct Ste 120, Irving, TX 75062-2828 | 2016-05-16 |
Find all providers in IRVING |
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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.