Shawn Allen Cottrell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

671 Issued in WV

Practice address

127 Goff Mountain Rd
Cross Lanes, WV 25313-1434

Phone

(304) 776-7290

Fax

(304) 776-8058

NPI assigned

Sep 21, 2006

Last updated

Oct 5, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cottrell Family Chiropractic

  • Rehabilitation Chiropractor
  • Cross Lanes, WV
  • NPI 1255544045

  O20070126000133

  Same enrollment

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottrell Family Chiropractic

  • Rehabilitation Chiropractor
  • Cross Lanes, WV
  • NPI 1255544045
  Medicare reassignment NPD Authorized official
• WV Chiropractic and Wellness, PLLC

  • Chiropractor
  • Hurricane, WV
  • NPI 1093287112
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1023117587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131434",
            "telephone_number": "304-776-7290",
            "fax_number": "304-776-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131434",
            "telephone_number": "304-776-7290",
            "fax_number": "304-776-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "SHAWN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022608",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shara Conner
• Christopher Cook
• David James Cornish, DPM
• Kassie J. Cosgrove, FNP-BC
• Cottrell Family Chiropractic
• Wendy Cottrell
• Michelle Cowley
• Steven Craig
• Toni Crank
• Shaijanae Crawford

• Chiropractor in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.