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SHAWN D WANDERAAS DC
NPI 1669790523
Chiropractor in Southaven, MS

Active since May 17, 2010
1134 CHURCH ROAD, SOUTHAVEN, MS 38671(662) 393-4848 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn D Wanderaas Dc NPPES

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

SHAWN D WANDERAAS DC (NPI 1669790523) is an individual chiropractor in Southaven, Mississippi, licensed in Mississippi (1201) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1669790523
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHAWN D WANDERAASCredential: DC
Location Address1134 CHURCH ROADSouthaven, MS 38671
Mailing Address1134 Church Road WSouthaven, MS 38671 · (662) 393-4848 · Fax (662) 393-4858
Phone(662) 393-4848
Sole ProprietorNo
Enumeration DateMay 17, 2010
Last NPPES UpdateMarch 5, 2013
✔ NPI 1669790523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1201
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.
1134 CHURCH ROAD, Southaven, MS 38671
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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 Shawn Wanderaas's NPI number?

The NPI number for Shawn Wanderaas is 1669790523. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Shawn Wanderaas located?

Shawn Wanderaas practices at 1134 Church Road, Southaven, MS 38671. The listed phone number is (662) 393-4848.

What is Shawn Wanderaas's specialty?

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

When was this NPI record last updated?

The NPPES record for Shawn Wanderaas was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.