Active NPI
Dwayne E Thomas II, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1255316709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1534
- Practice address
- 5527 Monroe Rd
Charlotte, NC 28212 - Phone
- (704) 568-2447
- Fax
- (704) 568-2591
- NPI assigned
- Dec 7, 2005
- Last updated
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 1534 | NC | Primary |
Addresses
Primary practice location
5527 Monroe Rd
Charlotte, NC 28212
Mailing address
5527 Monroe Rd
Charlotte, NC 28212-5503
Phone (704) 568-2447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08844 | Other | NC | BLUE CROSS/BLUE SHIELD |
| 7908844 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1534 | NC | MD | Hearing Instrument Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Charlotte, NC
- NPI 1285067165
-
- Chiropractor
- Charlotte, NC
- NPI 1174000947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1255316709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5527 MONROE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282125503",
"telephone_number": "704-568-2447",
"fax_number": "704-568-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5527 MONROE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "704-568-2447",
"fax_number": "704-568-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DWAYNE",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "08844",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908844",
"state": "NC"
}
],
"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 Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.