Organization Active NPI

Wincare Chiropractic, PLLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1699839480
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2067 Issued in NC
Legal business name
WINCARE CHIROPRACTIC, PLLC
Practice address
204 Fair Oaks LN
Winston-Salem, NC 27127
Phone
(336) 248-8402
Fax
(336) 893-9511
NPI assigned
Dec 19, 2006
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dr. Mark D Winyard, D.C.NPI 1477561363
Title
Owner
Phone
(336) 248-8402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2067 NC Primary

Addresses

Primary practice location

204 Fair Oaks LN
Winston-Salem, NC 27127

Mailing address

204 Fair Oaks LN
Winston-Salem, NC 27127
Phone (336) 248-8402

Other identifiers 4

IdentifierTypeStateIssuer
8908947MedicaidNC
08947OtherNCBCBS INDY NUMBER
08940OtherNCBCBS GROUP NUMBER
10143OtherNCPARTNERS ID NUMBER

National Provider Directory

National Provider Directory

Locations

41 S Talbert Blvd
Lexington, NC 27292
Phone (336) 246-8402

204 Fair Oaks Ln
Winston Salem, NC 27127
Phone (336) 248-8402

Practitioners & affiliated clinicians

Practitioners 3

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1699839480",
    "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": "27127",
            "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": "27127",
            "telephone_number": "336-248-8402",
            "fax_number": "336-893-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCARE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "WINYARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-248-8402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908947",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDY NUMBER",
            "identifier": "08947",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "08940",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS ID NUMBER",
            "identifier": "10143",
            "state": "NC"
        }
    ],
    "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 Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.