Shawn Alan Vanwinkle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16371 Issued in AR

Practice address

4305 S Pleasant Crossing Blvd Ste 2
Rogers, AR 72758-1495

Phone

(479) 340-0977

Fax

(479) 340-0976

NPI assigned

Oct 10, 2011

Reactivated

Oct 26, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beyond Chiropractic Clinic PC

  • Chiropractor
  • Windsor, CO
  • NPI 1912141060
  NPD (past)
• MTN Health Chiro & Neurology Ctr LLC

  • Neurology Chiropractor
  • Englewood, CO
  • NPI 1164545638
  NPD (past)
• Vital Link Chiropractic, LLC

  • Chiropractor
  • Fort Collins, CO
  • NPI 1629001391
  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1306120258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 S PLEASANT CROSSING BLVD STE 2",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581495",
            "telephone_number": "479-340-0977",
            "fax_number": "479-340-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S PLEASANT CROSSING BLVD STE 2",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581495",
            "telephone_number": "479-340-0977",
            "fax_number": "479-340-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWINKLE",
        "first_name": "SHAWN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "deactivation_date": "2018-03-19",
        "reactivation_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien Van
• Ashleigh G Vanblarcom, NP
• Rachel Michelle Vanderpool
• Andrea Rogers Vanhecke, COTA
• Scott R Vanwilpe, D.C.
• James Carey Varner, DDS
• Cindy M. Vasquez, M.A.
• Shannon Vaughan, LPTA
• Courtney Vaughn
• Juliana Vazquez- Solis

• Chiropractor in Rogers, AR
• Providers in Rogers, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.