Active NPI
Shane T Cowan, D.C.
- Chiropractor
- McKinney, TX
National Provider Identifier
1538367404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8674
- Practice address
- 1824 W Virginia St
McKinney, TX 75069-7865 - Phone
- (214) 491-4944
- Fax
- (214) 491-4945
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 8674 | TX | Primary |
Addresses
Primary practice location
1824 W Virginia St
McKinney, TX 75069-7865
Mailing address
1824 W Virginia St
McKinney, TX 75069-7865
Phone (214) 491-4944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608400 | Other | TX | BCBS TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1740 W Virginia St
Suite 100
McKinney, TX 75069-7864
Phone (214) 491-4944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08674 | TX | MD | Professional Counselor |
| 8674 | TX | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1538367404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 W VIRGINIA ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750697865",
"telephone_number": "214-491-4944",
"fax_number": "214-491-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 W VIRGINIA ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750697865",
"telephone_number": "214-491-4944",
"fax_number": "214-491-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "SHANE",
"middle_name": "T",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "608400",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.