Thomas Slade Wallace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6012 Issued in NC

Practice address

134 Professional Park Dr Ste 400
Mooresville, NC 28117-5600

Phone

(704) 799-8060

NPI assigned

Jan 28, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Group practices

Benningfield Family Chiropractic PLLCGroup PAC ID 9739247248, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benningfield Family Chiropractic PLLC

  • Chiropractor
  • Mooresville, NC
  • NPI 1003985722
  Medicare reassignment Care Compare group NPD
• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  NPD (past)

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1972453264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR STE 400",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175600",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR STE 400",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175600",
            "telephone_number": "704-799-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "THOMAS",
        "middle_name": "SLADE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Edward Randal Walker Gallego, MD
• Cynthia Lynn Walker, OT
• Karyetta L. Walker, EDD, LCMHC
• Savanna Walker, CCC-SLP
• Allison Walsh, LCMHCA
• Caroline Walsh
• Jesse Walsh, DDS
• Thienkim Nguyen Walters, PA-C
• Katlyn Ward, MS CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.