Whole Life Chiropractic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHOLE LIFE CHIROPRACTIC PC

Practice address

5410 Page Rd Ste 3
Durham, NC 27703-8230

Phone

(919) 474-8400

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dolphus Allen Thacker III, DCNPI 1588963540

Title

Owner

Phone

(919) 474-8400

Specialties & licenses 1

Addresses

Other names 1

• Whole Life Chiropractic Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolphus Allen Thacker III, DC

  • Chiropractor
  • Durham, NC
  • NPI 1588963540
  Medicare reassignment NPD Authorized official
• Lucas Wayne Kruse, D.C.

  • Chiropractor
  • Rolesville, NC
  • NPI 1790986016
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1568088672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 PAGE RD STE 3",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038230",
            "telephone_number": "919-474-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 PAGE RD STE 3",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038230",
            "telephone_number": "919-474-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "DOLPHUS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-474-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wholelifechironc.com",
            "affiliation": "N",
            "address_1": "5410 Page Rd Ste 3",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277038230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Whole Life Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Abbigail Whittington, PA-C
• John Whittle, MBBS MD FRCA
• Emily Salo Whitworth, FNP
• Whole Health Partners PLLC
• Whole Hearted Home Care LLC
• Whole Life OT, PLLC
• Wholehearted Psychotherapy PLLC
• Wholistic Transformation, LLC
• Anna Noelle Wichlinski, AUD
• Bethany Wichman-Buescher, LCSWA

• Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.