Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Richard Wallace, DC

Individual provider Chiropractor · NPI 1932367539

Mark Richard Wallace, DC is a Chiropractor in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9337 W 75th St
Overland Park, KS 66204 Not confirmed with CMS for 18 years — call before visiting
Phone: (913) 722-3200
Fax: (913) 432-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 04348 (KS)
Chiropractor Taxonomy 111N00000X · Licence 6478 (MO)

Record details

NPI number1932367539
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 30, 2008
Last updated in NPPESSeptember 10, 2008

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