Organization Active NPI

Beyond Chiropractic, PLLC

  • Chiropractor
  • Matthews, NC
National Provider Identifier
1073781605
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3426 Issued in NC
Legal business name
BEYOND CHIROPRACTIC, PLLC
Practice address
119 S Trade St
Suite 108
Matthews, NC 28105-5767
Phone
(704) 543-5508
NPI assigned
Feb 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kandyce T. Thomas, D.C.NPI 1114105392
Title
Chiropractor/Owner
Phone
(704) 543-5508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3426 NC Primary

Addresses

Primary practice location

119 S Trade St
Suite 108
Matthews, NC 28105-5767

Mailing address

119 S Trade St
Suite 108
Matthews, NC 28105-5767
Phone (704) 543-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000728 NC Part B Supplier - Clinic/Group Practice 3476630401 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2273009Beyond Chiropractic, PLLC119 S Trade Street #108, Matthews, NC 28105Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Locations

10021 Park Cedar Dr
Ste 200
Charlotte, NC 28210
Phone (704) 438-9383

10440 Park Rd
Ste 200
Charlotte, NC 28210
Phone (704) 534-3496

167 S Trade St
Ste I
Matthews, NC 28105

10829 Pineville Rd
Ste 4
Pineville, NC 28134
Phone (704) 543-5508

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1073781605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S TRADE ST",
            "address_2": "SUITE 108",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055767",
            "telephone_number": "704-543-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S TRADE ST",
            "address_2": "SUITE 108",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055767",
            "telephone_number": "704-543-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KANDYCE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "704-543-5508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.