Active NPI
Kyle Dean Shunkwiler, D.C., M.S.
- Chiropractor
- Lincoln, NE
National Provider Identifier
1285896456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1516
- Practice address
- 4130 Pioneer Woods Drive
Suite 3
Lincoln, NE 68506-7552 - Phone
- (402) 261-6841
- Fax
- (402) 261-6843
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1516 | NE | Primary |
Addresses
Primary practice location
4130 Pioneer Woods Drive
Suite 3
Lincoln, NE 68506-7552
Mailing address
4130 Pioneer Woods Drive
Suite 3
Lincoln, NE 68506-7552
Phone (402) 261-6841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4130 Pioneer Woods Dr
Suite 3
Lincoln, NE 68506-7552
Phone (402) 261-6841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine & Sports Physical Therapy LLC | Current | Accepting new patients |
Locations
4130 Pioneer Woods Dr
Ste 3
Lincoln, NE 68506
Phone (402) 261-6841
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.
-
- Physical Therapy Clinic/Center
- Lincoln, NE
- NPI 1639863236
-
- Chiropractor
- Lincoln, NE
- NPI 1336303734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1285896456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DRIVE",
"address_2": "SUITE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-261-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DRIVE",
"address_2": "SUITE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-261-6841",
"fax_number": "402-261-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUNKWILER",
"first_name": "KYLE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.