Individual provider Active NPI

Christopher Scott Wynn, D.C.

  • Chiropractor
  • Marion, KY
National Provider Identifier
1629318365
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5550 Issued in KY
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

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000002902 TN
Chiropractor 111N00000X CHIR009071 GA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190215002797 KY Practitioner - Chiropractic 9234375817
I20240920001155 IN Practitioner - Chiropractic 9234375817 Reassigns benefits to 1 organization

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
Dr Bryan Guess LLCGroup PAC ID 3779027586, 3 clinicians

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

LicenseStateTypeSpecialty
CHIR009071GAMDChiropractor
5550KYMDChiropractor
DC0000002902TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bryan Guess LLC Chiropractor CurrentSince Sep 13, 2024 Accepting new patients
Spine Chiropractic Center PLLC Chiropractor CurrentSince Oct 29, 2023 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.

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.

Verify at the official NPI Registry.