Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Dean Waller, DC

Individual provider Chiropractor · NPI 1457424467

Mitchell Dean Waller, DC is a Chiropractor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Illinois.

Licensed in
AZ, IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5931 W Hedgehog Pl # B105
Phoenix, AZ 85083-6559
Phone: (309) 255-2905
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Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 8330 (AZ)
Independent Medical Examiner Chiropractor Taxonomy 111NI0013X · Licence 8330 (AZ)
Chiropractor Taxonomy 111N00000X · Licence 038-009141 (IL)

Record details

NPI number1457424467
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESMarch 1, 2026
Certification dateMarch 1, 2026
Mailing address5931 W Hedgehog Pl # B105, Phoenix, AZ 85083-6559

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