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Deactivated NPI 1629139563 Deactivated / Inactive NPI Male Practitioner

Dr. Scott Matthew Wallace , DC

Chiropractor • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date September 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Wallace, DC was a registered Chiropractor practicing in Las Vegas, NV. Throughout an active medical career spanning 17 years, Dr. Wallace provided care at the practice location at 8960 W CHEYENNE AVE until profile deactivation on 2023-09-27.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8960 W Cheyenne Ave
Suite 110

Las Vegas, NV 891298929

Telephone 7024746996
Fax 7026554389
Associated Practice Facility / Clinic
🏢 Scott M Wallace Ltd Facility NPI 1427209055

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 21.8 Yrs
Regional Practice Density
370 Specialists

Practicing in Las Vegas, NV (726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
390 52 $69.28 $39.51

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NV B383

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1528197316

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2015

Registered at 8960 W CHEYENNE AVE, SUITE 110, LAS VEGAS, NV 891298929 (Tel: 7024746996)

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Updated Business Mailing Address March 31, 2015

Registered at 8960 W CHEYENNE AVE, SUITE 110, LAS VEGAS, NV 891298929 (Tel: 7024746996)

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Provider Name / Credentials Updated March 31, 2015

Recorded as SCOTT WALLACE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Chiropractor (License #B383 in NV)

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Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629139563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: March 31, 2015
Deactivation Date: September 27, 2023

Mailing Address

8960 W Cheyenne Ave, Suite 110

Las Vegas, NV 891298929

Phone: 7024746996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.