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SHANNON R. WYMAN D.C.
NPI 1629125356
Chiropractor in Fairbanks, AK

Active since January 04, 2007
515 7TH AVE STE 230, FAIRBANKS, AK 99701(907) 456-4234(907) 451-9168 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shannon R. Wyman D.c. NPPES

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

SHANNON R. WYMAN D.C. (NPI 1629125356) is an individual chiropractor in Fairbanks, Alaska, licensed in Alaska (0408) and active in the NPI registry since January 2007. He is a graduate of Northwestern College Of Chiropractic (2004).

NPPES Registry Identity

NPI1629125356
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHANNON R. WYMANCredential: D.C.
Location Address515 7TH AVE STE 230Fairbanks, AK 99701-4949
Mailing Address515 7th Ave Ste 230Fairbanks, AK 99701-4949 · (907) 456-4234 · Fax (907) 451-9168
Phone(907) 456-4234
Fax(907) 451-9168
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2004
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1629125356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AK · 0408
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.
515 7TH AVE STE 230, Fairbanks, AK 99701
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Other Identifiers 2

MedicaidCH0408AK
Medicaid1004390AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon R. Wyman D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092780486
PECOS Enrollment IDI20040830000457

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
474 services114 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
45 services19 patients

Other Providers at the Same Location NPPES 12

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

DR. WARREN M. MOORE D.C.
Chiropractor
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
ALISHA GREENBERG LMT
Massage Therapist
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
THOMAS PETRIE LMT
Massage Therapist
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
SPAULDING CHIROPRACTIC CLINIC INC
Chiropractor
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
JENNIFER COX LMT
Massage Therapist
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
REBECCA BRADSHAW LMT
Massage Therapist
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
DR. WYATT BERG DC
Chiropractor
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234
SHARON LUEDTKE LMT
Massage Therapist
515 7TH AVE STE 230
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4234

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 Shannon Wyman's NPI number?

The NPI number for Shannon Wyman is 1629125356. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Shannon Wyman located?

Shannon Wyman practices at 515 7th Ave Ste 230, Fairbanks, AK 99701. The listed phone number is (907) 456-4234.

What is Shannon Wyman's specialty?

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

Is Shannon Wyman enrolled in Medicare?

Yes. Shannon Wyman is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Wyman accept?

Health plans from Moda Health Plan, Inc. list Shannon Wyman 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 Shannon Wyman was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.