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

Active since September 29, 2010Accepts Medicare Assignment
4120 N COLLINS ST STE 200, ARLINGTON, TX 76005(817) 557-2770(817) 557-1795 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Jun 28, 2024 (2 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 Address4120 N COLLINS ST STE 200Arlington, TX 76005-4554
Mailing Address4120 N Collins St Ste 200Arlington, TX 76005-4554 · (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 UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ 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.
4120 N COLLINS ST STE 200, 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, and ordering and referring status from the CMS PECOS system.

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAZIA LACKEY APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
4120 N COLLINS ST STE 200
ARLINGTON, TX 76005
Tarrant County (817) 372-2283
ELEXUS OGLESBY
Counselor (Professional)
4120 N COLLINS ST STE 200
ARLINGTON, TX 76005
Tarrant County (817) 330-4079
MODUS VIVENDI CHIROPRACTIC PLLC
Chiropractor
4120 N COLLINS ST STE 200
ARLINGTON, TX 76005
Tarrant County (817) 557-2770

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 4120 N Collins St Ste 200, 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.

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 December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.