Roger D Wallis Dcpc
Roger D Wallis Dcpc is a healthcare organization registered as Chiropractor in Fort Lupton, CO, holding Type 2 (organization) NPI 1083894489 since 2007. The authorized official on file is Roger Wallis, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083894489 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Roger D Wallis Dcpc |
| Practice address | 419 DENVER AVE, Fort Lupton, CO, 80621 |
| Phone | 3038576344 |
| Fax | 3038576250 |
| Enumeration date | 2007-11-14 |
| Last updated in NPPES | 2012-07-26 |
Authorized official
| Name | Roger Wallis |
|---|---|
| Title | President |
| Phone | 3038576344 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 1509 | CO |
Copy-ready billing details
Provider: Roger D Wallis Dcpc NPI: 1083894489 Taxonomy: 111N00000X (Chiropractor) Address: 419 DENVER AVE, Fort Lupton, CO, 80621
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063615243 | Roger Wallis | Individual | Chiropractor | Fort Lupton, CO |
Verify this record
Cross-check NPI 1083894489 against the authoritative CMS record: view Roger D Wallis Dcpc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-26.