Caleb Dylan Wallace, DC

Chiropractor · Moore, OK

Individual Active NPI

NPI number 1508775420

Practice location

1101 SW 30TH Ct Ste B
Moore, OK 73160-2887
Phone
(405) 759-2233

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NPI record

NPI
1508775420
Entity type
Individual (Type 1)
Enumeration date
September 4, 2026
Last updated
September 4, 2026
Certified
September 4, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4735 OK

About Dr. Wallace

Caleb Dylan Wallace, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1101 SW 30TH Ct Ste B, Moore, OK 73160-2887. The NPI number 1508775420 was assigned on September 4, 2026 and the record was last updated on September 4, 2026.

Dr. Wallace lists a license in the registry: #4735 (OK) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Dylan Wallace, DC?

The NPI number is 1508775420.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (405) 759-2233.

Where is Dr. Wallace located?

1101 SW 30TH Ct Ste B, Moore, OK 73160-2887.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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