Healthcare Provider Details

I. General information

NPI: 1720157894
Provider Name (Legal Business Name): SHAWN PHILLIP SCOGGIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STONEBROOK PKWY UNIT 404
FRISCO TX
75036-1181
US

IV. Provider business mailing address

400 STONEBROOK PKWY UNIT 404
FRISCO TX
75036-1181
US

V. Phone/Fax

Practice location:
  • Phone: 214-705-6100
  • Fax: 214-705-6180
Mailing address:
  • Phone: 214-705-6100
  • Fax: 214-508-6180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10442
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: