Active NPI
Thomas Chiropractic Clinic
- Chiropractor
- Charlotte, NC
National Provider Identifier
1285067165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1534
- Legal business name
- THOMAS CHIROPRACTIC CLINIC
- Practice address
- 5527 Monroe Rd
Charlotte, NC 28212-5503 - Phone
- (704) 568-2447
- Fax
- (704) 568-2591
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dwayne Ervin Thomas II, D.C.
- Title
- Owner
- Phone
- (704) 568-2447
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1534 | NC | Primary |
| Chiropractor | 111N00000X | 4383 | NC |
Addresses
Primary practice location
5527 Monroe Rd
Charlotte, NC 28212-5503
Mailing address
5527 Monroe Rd
Charlotte, NC 28212-5503
Phone (704) 568-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7908844 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376524800000",
"number": "1285067165",
"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": "282125503",
"telephone_number": "704-568-2447",
"fax_number": "704-568-2591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "ERVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-568-2447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "1534",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "4383",
"primary": false
}
],
"identifiers": [
{
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.