Individual provider Active NPI

Shaun Matthew Locklin, D.C.

  • Chiropractor
  • Malone, NY
National Provider Identifier
1740288950
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009233 Issued in NY
Practice address
583 E Main St
Malone, NY 12953-2035
Phone
(518) 481-6886
NPI assigned
Jul 12, 2005
Reactivated
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009233 NY Primary

Addresses

Primary practice location

583 E Main St
Malone, NY 12953-2035

Mailing address

583 E Main St
Malone, NY 12953-2035
Phone (518) 481-6886

Other identifiers 2

IdentifierTypeStateIssuer
X1C601OtherNYEMPIRE BC
C09233-0OtherNYNYS WORKERS COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001043 NY Practitioner - Chiropractic 3476525460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

583 E Main St
Malone, NY 12953-2035
Phone (518) 481-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009233NYMDChiropractor
009233NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Locklin Chiropractic, PC Chiropractor CurrentSince Oct 1, 2004 Accepting new patients

Locations

583 E Main St
Malone, NY 12953
Phone (518) 353-4387

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740288950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532035",
            "telephone_number": "518-481-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532035",
            "telephone_number": "518-481-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLIN",
        "first_name": "SHAUN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "X1C601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKERS COMP",
            "identifier": "C09233-0",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.