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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENYON GODWIN D.C.
NPI 1417266016
Chiropractor in Arlington, TX

Active since September 29, 2010Accepts Medicare Assignment
3980 N COLLINS ST STE 144, ARLINGTON, TX 76005(817) 557-2770(817) 557-1795 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2026, Dec 30, 2024, Jun 28, 2024 (3 updates tracked since 2024).

About Dr. Kenyon Godwin D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENYON GODWIN D.C. (NPI 1417266016) is an individual chiropractor in Arlington, Texas, licensed in Texas (11576) and active in the NPI registry since September 2010. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1417266016
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENYON GODWINCredential: D.C.
Location Address3980 N COLLINS ST STE 144Arlington, TX 76005-4586
Mailing Address3980 N Collins St Ste 144Arlington, TX 76005-4586 · (817) 557-2770 · Fax (817) 557-1795
Phone(817) 557-2770
Fax(817) 557-1795
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 29, 2010
Last NPPES UpdateOctober 16, 20263 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1417266016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 11576
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3980 N COLLINS ST STE 144, Arlington, TX 76005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenyon Godwin D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901094978
PECOS Enrollment IDI20101220000127

Medicare Billing Reassignment

Medicare enrollment records show Kenyon Godwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modus Vivendi Chiropractic PLLC
0.3 mi
Chiropractor
4120 N COLLINS ST STE 200
Arlington, TX 76005
  • Reassigned Medicare billing, Texas enrollment
NPI 1801106299 (817) 557-2770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyon Godwin's NPI number?

The NPI number for Kenyon Godwin is 1417266016. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Kenyon Godwin located?

Kenyon Godwin practices at 3980 N Collins St Ste 144, Arlington, TX 76005. The listed phone number is (817) 557-2770.

What is Kenyon Godwin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenyon Godwin enrolled in Medicare?

Yes. Kenyon Godwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kenyon Godwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyon Godwin reassigns Medicare benefits to Modus Vivendi Chiropractic PLLC (Arlington, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenyon Godwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyon Godwin accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenyon Godwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenyon Godwin was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.