Dominique Natural Health Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3951 Issued in NC

Legal business name

DOMINIQUE NATURAL HEALTH INC.

Doing business as

Holistic Medical Clinic of the Carolinas

Practice address

308 E Main St
Wilkesboro, NC 28697-2504

Phone

(336) 667-6464

Fax

(336) 667-4488

NPI assigned

Sep 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin A Pridgen

Title

Office Manager

Phone

(336) 667-6464

Specialties & licenses 2

Addresses

Other names 1

• Holistic Medical Clinic of the Carolinas Doing business as

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700395167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972504",
            "telephone_number": "336-667-6464",
            "fax_number": "336-667-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972504",
            "telephone_number": "336-667-6464",
            "fax_number": "336-667-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE NATURAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-667-6464"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3951",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "3951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Medical Clinic of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.