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Robert Wallace, C.PED.
NPI 1194052654 · Specialist · Charlotte, NC
Robert Wallace, C.PED. is a Specialist provider in Charlotte, NC (NPI 1194052654).
Provider details
- NPI number
- 1194052654
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- C.PED.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 E 7th St
Charlotte, NC 28204-3311
Phone: (704) 334-1860
Fax: (704) 347-2785
Street-level locationGet directions
Mailing address
2001 E 7th St
Charlotte, NC 28204-3311
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2009-11-04
Frequently asked questions
- What is Robert Wallace's NPI number?
- Robert Wallace's National Provider Identifier (NPI) is 1194052654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Wallace's specialty?
- Robert Wallace is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Robert Wallace located?
- Robert Wallace's practice location on file with NPPES is 2001 E 7th St, Charlotte, NC 28204-3311.
- What is Robert Wallace's phone number?
- The practice phone number listed in the NPPES registry for Robert Wallace is (704) 334-1860.
- Is Robert Wallace's NPI active?
- Yes — Robert Wallace's NPI (1194052654) is active in the NPPES registry as of the last update on 2009-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.