Shane Wallace, DC
NPI 1639753239 · Chiropractor · Brooklyn, MI
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Wallace, DC is a Chiropractor provider in Brooklyn, MI (NPI 1639753239).
Provider details
- NPI number
- 1639753239
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 2301011096 (MI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2021-05-10
- Last updated
- 2021-05-10
- Certified
- 2021-05-10
Frequently asked questions
- What is Shane Wallace's NPI number?
- Shane Wallace's National Provider Identifier (NPI) is 1639753239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Wallace's specialty?
- Shane Wallace is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Shane Wallace located?
- Shane Wallace's practice location on file with NPPES is 9909 Wamplers Lake Rd, Brooklyn, MI 49230-9503.
- What is Shane Wallace's phone number?
- The practice phone number listed in the NPPES registry for Shane Wallace is (517) 592-8208.
- Does Shane Wallace accept Medicare?
- Shane Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Wallace's NPI active?
- Yes — Shane Wallace's NPI (1639753239) is active in the NPPES registry as of the last update on 2021-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.