Organization Active NPI

Shane Cowan Enterprises, LLC

Doing business as McKinney Spine & Wellness

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1629248075
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8674 Issued in TX
Legal business name
SHANE COWAN ENTERPRISES, LLC
Doing business as
McKinney Spine & Wellness
Practice address
1824 W Virginia St
McKinney, TX 75069-7865
Phone
(214) 491-4944
Fax
(214) 491-4945
NPI assigned
Mar 1, 2008
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Shane Cowan, D.C.NPI 1538367404
Title
Owner
Phone
(214) 491-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
608400OtherTXBCBS TX

Other names 1

  • McKinney Spine & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000644 TX Part B Supplier - Clinic/Group Practice 2961574389 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1629248075",
    "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": {
        "organization_name": "SHANE COWAN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-491-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "608400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinney Spine & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.