DR. SCOTT MATTHEW WALLACE


Address: 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929
Phone: 7024746996

DR. SCOTT MATTHEW WALLACE (NPI# 1629139563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629139563
Entity Type Individual
Full Name DR. SCOTT MATTHEW WALLACE
Credential D.C.
Practice Address 8960 W Cheyenne Ave
Suite 110
Las Vegas
NV 89129-8929
Practice Telephone 7024746996
Practice Fax Number 7026554389
Mailing Telephone 7024746996
Mailing Fax Number 7026554389
Enumeration Date 2006-12-13
Last Update Date 2015-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor B383 NV Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV BLUE CROSS BLUE SHIELD NV3648 01

Other Providers SCOTT WALLACE

NPI Name Taxonomy Address Enumeration
1275809899 Scott Andrew Wallace Student in an Organized Health Care Education/Training Program Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2012-03-28
1184996399 Scott D Wallace Social Worker 63 Glenwood St, Lowell, MA 01852-3007 2012-02-02
1770655342 Scott G Wallace Chiropractor 2515 Crosby Ave, Klamath Falls, OR 97603-4553 2006-11-15
1558381822 Scott Christopher Wallace Anesthesiology Po Box 112, Muncie, IN 47308-0112 2006-07-20
1831611839 Scott Christopher Wallace Nurse Practitioner 1900 S Main St, Findlay, OH 45840-1214 2017-07-11
1104359975 Scott Robert Wallace Psychiatry & Neurology 103 N Loop 499, Harlingen, TX 78550-2557 2017-04-07
1922441880 Scott Michael Wallace Pediatrics 75 Pringle Way, Ste 300, Reno, NV 89502-1464 2013-04-10
1134414220 Scott Eric Wallace Pharmacist 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 2011-06-16
1568755114 Scott Wallace Technician, Other 4801 Reading St, Dallas, TX 75247-6716 2011-05-16
1265613855 Scott Arthur Wallace Physician Assistant 3643 N Roxboro St, Durham Regional Hospital Emergency Department, Durham, NC 27704-2702 2007-11-25

Office Location

Street Address 8960 W CHEYENNE AVE
SUITE 110
City LAS VEGAS
State NV
Zip Code 89129-8929

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588938054 Active Nevada Chiropractic & Wellness, LLC Chiropractor 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 2012-03-01
1427209055 Scott M Wallace Ltd Chiropractor 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 2008-10-01
1528197316 Rhett K Beaman Chiropractor 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 2007-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699387621 Voice Specialist LLC Speech-Language Pathologist 3701 Paul Deweert Ct, Las Vegas, NV 89129 2020-08-20
1215563358 Aba Homecare LLC In Home Supportive Care 4456 N Prospect Hill Ct, Las Vegas, NV 89129 2020-03-20
1568935534 Las Vegas Family Medicine Inc. Family Medicine 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 2019-01-02
1477040798 Cynthia Beverly Springer Technician 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 2018-04-23
1518471093 3 Pharmacy LLC Pharmacy 3350 Novat St Ste 110, Las Vegas, NV 89129 2017-11-20
1497207393 Morgan A Lavergne Behavioral Analyst 7650 Siesta Grande Ave., Las Vegas, NV 89129 2016-10-27
1255880191 Sierra Treatment and Recovery Services, LLC Clinic/Center 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 2016-10-03
1710433545 Tyson Miller Dentist 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 2016-08-31
1427450923 Jerale Tiffith Behavioral Analyst 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 2014-09-16
1134463821 Paul Carr Behavioral Analyst 4460 Park Ave, Las Vegas, NV 89129 2012-11-19
Find all providers in zip 89129

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013516228 Hernandez Chiropractic LLC. Chiropractor 2829 S Rainbow Blvd, Las Vegas, NV 89146-5166 2020-10-19
1508475203 Powerhouse Physical Therapy LLC Chiropractor 3050 E Bonanza Rd Ste 110d, Las Vegas, NV 89101-3706 2020-07-28
1366077067 Josephine N Stanton Chiropractor 8475 S Eastern Ave Ste 101, Las Vegas, NV 89123-2863 2020-03-03
1194356220 Joshua Lawrence Sharpe Chiropractor 410 S Rampart Blvd Ste 340, Las Vegas, NV 89145-5730 2020-01-28
1104466713 The Muscle, Joint & Spine Center, Inc. Chiropractor 9516 W Flamingo Rd Ste 125, Las Vegas, NV 89147-5748 2020-01-11
1831730894 Daniel Stellavato Chiropractor 11014 Calcedonian St, Las Vegas, NV 89141-4328 2019-10-01
1184272601 Andrea Watson Chiropractor 10420 S Decatur Blvd Ste 140, Las Vegas, NV 89141-8717 2019-08-28
1760940555 Willie So Chiropractor 1263 E Silverado Ranch Blvd Ste 105a, Las Vegas, NV 89183-5946 2019-03-11
1861962052 Light Brothers, LLC Chiropractor 10040 W Cheyenne Ave Ste 130, Las Vegas, NV 89129-7720 2018-11-29
1073099354 Alignology, LLC Chiropractor 10470 W Cheyenne Ave Ste 115, Las Vegas, NV 89129-8733 2018-07-19
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Competitor

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City LAS VEGAS
Zip Code 89129

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Dataset Information

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.

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