Shawn Lutz DC LLC
NPI 1962902403 · Sports Physician Chiropractor · Bend, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Lutz DC LLC is a Sports Physician Chiropractor organization in Bend, OR (NPI 1962902403).
Provider details
- NPI number
- 1962902403
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Shawn Lutz, Owner(458) 206-6123
- License
- 4064 (OR)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dynamic Sports Rehab
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2022-02-16
- Certified
- 2022-02-16
Frequently asked questions
- What is Shawn Lutz DC LLC's NPI number?
- Shawn Lutz DC LLC's National Provider Identifier (NPI) is 1962902403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawn Lutz DC LLC?
- Shawn Lutz DC LLC is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Shawn Lutz DC LLC located?
- Shawn Lutz DC LLC's practice location on file with NPPES is 296 Sw Columbia St Ste D1, Bend, OR 97702-1020.
- What is Shawn Lutz DC LLC's phone number?
- The practice phone number listed in the NPPES registry for Shawn Lutz DC LLC is (541) 600-2558.
- Does Shawn Lutz DC LLC accept Medicare?
- Shawn Lutz DC LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shawn Lutz DC LLC?
- The authorized official listed on Shawn Lutz DC LLC's NPPES record is Shawn Lutz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawn Lutz DC LLC's NPI active?
- Yes — Shawn Lutz DC LLC's NPI (1962902403) is active in the NPPES registry as of the last update on 2022-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.