Active NPI
Christopher Scott Wynn, D.C.
- Chiropractor
- Marion, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5550
- Practice address
- 111A W Gum St
Marion, KY 42064-1533 - Phone
- (270) 965-7002
- NPI assigned
- Feb 17, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000002902 | TN | |
| Chiropractor | 111N00000X | CHIR009071 | GA | |
| Chiropractor | 111N00000X | 5550 | KY | Primary |
Addresses
Primary practice location
111A W Gum St
Marion, KY 42064-1533
Mailing address
107 Morningside Dr Ste 4
Marion, KY 42064-1269
Phone (270) 965-7002
Other practice location 1
107 Morningside Dr Ste 4
Marion, KY 42064
Phone (270) 965-7002
Other practice location 2
107 Morningside Dr Ste 4
Marion, KY 42064
Phone (270) 965-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2441 State St
Suite 10
New Albany, IN 47150-4962
Phone (812) 945-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009071 | GA | MD | Chiropractor |
| 5550 | KY | MD | Chiropractor |
| DC0000002902 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Bryan Guess LLC | Chiropractor | Current | Accepting new patients |
| Spine Chiropractic Center PLLC | Chiropractor | Current | Accepting new patients |
Locations
2441 State St
Ste 10
New Albany, IN 47150
Phone (812) 945-4500
111A W Gum St
Marion, KY 42064
Phone (270) 965-7002
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.
-
- Chiropractor
- New Albany, IN
- NPI 1518721158
-
- Chiropractor
- Marion, KY
- NPI 1881466563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1629318365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MORNINGSIDE DR STE 4",
"city": "MARION",
"state": "KY",
"postal_code": "420641269",
"telephone_number": "270-965-7002",
"fax_number": "270-965-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111A W GUM ST",
"city": "MARION",
"state": "KY",
"postal_code": "420641533",
"telephone_number": "270-965-7002"
}
],
"practiceLocations": [
{
"address_1": "107 Morningside Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "KY",
"postal_code": "42064",
"country_code": "US",
"telephone_number": "270-965-7002",
"fax_number": "270-965-1908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Morningside Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "KY",
"postal_code": "42064",
"country_code": "US",
"telephone_number": "270-965-7002",
"fax_number": "270-965-1908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYNN",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-17",
"last_updated": "2023-10-25",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000002902",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009071",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "5550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.