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DR. THOMAS SLADE WALLACE DC
NPI 1972453264
Chiropractor in Mooresville, NC

Active since January 28, 2026
134 PROFESSIONAL PARK DR STE 400, MOORESVILLE, NC 28117(704) 799-8060 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2026, Mar 2, 2026, Jan 28, 2026 (3 updates tracked since 2026).

About Dr. Thomas Slade Wallace Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS SLADE WALLACE DC (NPI 1972453264) is an individual chiropractor in Mooresville, North Carolina, licensed in North Carolina (6012) and active in the NPI registry since January 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1972453264
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THOMAS SLADE WALLACECredential: DC
Location Address134 PROFESSIONAL PARK DR STE 400Mooresville, NC 28117-5600
Mailing Address134 Professional Park Dr Ste 400Mooresville, NC 28117-5600 · (704) 799-8060 · Fax (704) 799-8131
Phone(704) 799-8060
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 28, 2026
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1972453264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 6012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
134 PROFESSIONAL PARK DR STE 400, Mooresville, NC 28117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Slade Wallace Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800370883
PECOS Enrollment IDI20260318000745

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY LORRAINE BECKER LPC
Counselor (Professional)
134 PROFESSIONAL PARK DR STE 400
MOORESVILLE, NC 28117
Iredell County (704) 664-1009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Wallace's NPI number?

The NPI number for Thomas Wallace is 1972453264. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Thomas Wallace located?

Thomas Wallace practices at 134 Professional Park Dr Ste 400, Mooresville, NC 28117. The listed phone number is (704) 799-8060.

What is Thomas Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Thomas Wallace enrolled in Medicare?

Yes. Thomas Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Wallace was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.