DR. SHANNON GERALD WATSON D.C.
NPI 1639343585
Chiropractor in Malibu, CA

Q: What is Shannon Watson's NPI number?

The NPI number for Shannon Watson is 1639343585. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Q: What is Shannon Watson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Watson was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 22, 2008Accepts Medicare Assignment

18103 COASTLINE DR. #5, MALIBU, CA 90265(310) 774-6772(310) 752-6068 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shannon Gerald Watson D.c. NPPES

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

DR. SHANNON GERALD WATSON D.C. (NPI 1639343585) is an individual chiropractor in Malibu, California, licensed in Wisconsin (441212) and active in the NPI registry since April 2008. He is a graduate of Palmer College Chiropractic - Davenport (2008).

NPPES Registry Identity

NPI1639343585

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHANNON GERALD WATSONCredential: D.C.

Location Address18103 COASTLINE DR. #5Malibu, CA 90265-5744

Mailing Address18103 Coastline Dr Apt 5Malibu, CA 90265-5744 · (310) 774-6772 · Fax (310) 752-6068

Phone(310) 774-6772

Fax(310) 752-6068

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2008

Enumeration DateApril 22, 2008

Last NPPES UpdateMarch 30, 2009

✔ NPI 1639343585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in WI · 441212✔ Licensed in CA · 31116

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.

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. Shannon Gerald Watson 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 ID9739256140

PECOS Enrollment IDI20100226000118

Areas of Expertise CMS Part B claims

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, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

196 services17 patients

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 Watson's NPI number?

The NPI number for Shannon Watson is 1639343585. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Shannon Watson located?

Shannon Watson practices at 18103 Coastline Dr. #5, Malibu, CA 90265. The listed phone number is (310) 774-6772.

What is Shannon Watson's specialty?

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

Is Shannon Watson enrolled in Medicare?

Yes. Shannon Watson 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.

When was this NPI record last updated?

The NPPES record for Shannon Watson was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.