Active NPI
Mark David Winyard, DC
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1477561363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2067
- Practice address
- 204 Fair Oaks LN
Winston Salem, NC 27127-3178 - Phone
- (336) 248-8402
- Fax
- (336) 224-2172
- NPI assigned
- Aug 4, 2006
- 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 | 2067 | NC | Primary |
Addresses
Primary practice location
204 Fair Oaks LN
Winston Salem, NC 27127-3178
Mailing address
204 Fair Oaks LN
Winston Salem, NC 27127-3178
Phone (336) 248-8402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08940 | Other | BCBS | |
| 08947 | Other | BCBS | |
| 8908947 | Medicaid | NC | |
| 10143 | Other | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2067 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Chiropractic & Wellness PLLC | Chiropractor | Current | Accepting new patients |
Locations
204 Fair Oaks Ln
Winston Salem, NC 27127
Phone (336) 248-8402
Organizations & group practices 1
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.
-
dba Wincare Chiropractic PLLC
- Chiropractor
- Winston Salem, NC
- NPI 1225765811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1477561363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 FAIR OAKS LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271273178",
"telephone_number": "336-248-8402",
"fax_number": "336-893-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 FAIR OAKS LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271273178",
"telephone_number": "336-248-8402",
"fax_number": "336-224-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINYARD",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08947",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908947",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "10143",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.