Organization Active NPI

Thomas Chiropractic

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1831475755
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002580A Issued in IN
Legal business name
THOMAS CHIROPRACTIC
Practice address
3162 Mallard Cove LN
Fort Wayne, IN 46804-2882
Phone
(260) 267-9052
Fax
(260) 267-9062
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Sean Thomas, D.C.
Title
Owner/Chiropractor
Phone
(260) 267-9052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002580A IN Primary

Addresses

Primary practice location

3162 Mallard Cove LN
Fort Wayne, IN 46804-2882

Mailing address

3162 Mallard Cove LN
Fort Wayne, IN 46804-2882
Phone (260) 267-9052

National Provider Directory

National Provider Directory

Locations

3162 Mallard Cove Ln
Fort Wayne, IN 46804
Phone (260) 267-9052

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1831475755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-267-9052",
            "fax_number": "260-267-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-267-9052",
            "fax_number": "260-267-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "260-267-9052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.