Active NPI
Kandyce T'Neal Thomas, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1114105392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3426
- Practice address
- 10440 Park Rd
Suite 200
Charlotte, NC 28210-8504 - Phone
- (704) 534-3496
- NPI assigned
- Feb 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3426 | NC | Primary |
Addresses
Primary practice location
10440 Park Rd
Suite 200
Charlotte, NC 28210-8504
Mailing address
119 S Trade St
Ste 108
Matthews, NC 28105-5774
Phone (704) 543-5508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
167 S Trade St
Suite I
Matthews, NC 28105-5933
Phone (704) 543-5508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3426 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Touch Chiropractic Wellness Center PA | Chiropractor | Current | Accepting new patients |
Locations
119 S Trade St
Ste 108
Matthews, NC 28105
Phone (704) 350-9990
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Matthews, NC
- NPI 1073781605
-
- Chiropractor
- Charlotte, NC
- NPI 1194057976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1114105392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S TRADE ST",
"address_2": "STE 108",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055774",
"telephone_number": "704-543-5508",
"fax_number": "704-943-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 PARK RD",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108504",
"telephone_number": "704-534-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KANDYCE",
"middle_name": "T'NEAL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-09",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.