Individual provider Active NPI

Arnie Wynn, D.C.

  • Sports Physician Chiropractor
  • Charlotte, NC
National Provider Identifier
1184783367
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4252 Issued in NC
Practice address
610 E 7TH St
Suite 2a
Charlotte, NC 28202-2923
Phone
(704) 299-1700
Fax
(704) 299-1700
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4252 NC Primary

Addresses

Primary practice location

610 E 7TH St
Suite 2a
Charlotte, NC 28202-2923

Mailing address

1128 Kurt CT
Charlotte, NC 28209-2806
Phone (704) 299-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421000487 NC Practitioner - Chiropractic 2961927199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4252NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Spectrum LLC CurrentSince Nov 24, 2025 Accepting new patients
Health and Wellness Services PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

715 E 5th St
#216
Charlotte, NC 28202

715 E 5th St
Ste 216
Charlotte, NC 28202
Phone (704) 299-1700

715 E 5th St
Ste 214
Charlotte, NC 28202
Phone (704) 909-7954

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1184783367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 KURT CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092806",
            "telephone_number": "704-299-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 7TH ST",
            "address_2": "SUITE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022923",
            "telephone_number": "704-299-1700",
            "fax_number": "704-299-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ARNIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "4252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.