DR. SHANON ROBERT RAY D.C
NPI 1164603833
Chiropractor in East Grand Forks, MN

Active since November 21, 2007Accepts Medicare Assignment
418 DEMERS AVE, EAST GRAND FORKS, MN 56721(218) 773-8403(218) 773-9812 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shanon Robert Ray D.c NPPES

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

DR. SHANON ROBERT RAY D.C (NPI 1164603833) is an individual chiropractor in East Grand Forks, Minnesota, licensed in Minnesota (3582) and active in the NPI registry since November 2007. He is a graduate of Northwestern College Of Chiropractic (1997).

NPPES Registry Identity

NPI1164603833
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANON ROBERT RAYCredential: D.C
Location Address418 DEMERS AVEEast Grand Forks, MN 56721-1836
Mailing Address418 Demers AveEast Grand Forks, MN 56721-1836 · (218) 773-8403 · Fax (218) 773-9812
Fax(218) 773-9812
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 1997
Enumeration DateNovember 21, 2007
NPI 1164603833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 3582
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.
418 DEMERS AVE, East Grand Forks, MN 56721

Other Identifiers 5

Other71D82RAMN · Bc/bs
Other22582ND · Bc/bs
Medicaid2086882400MN
Medicare UPINU93370
Medicaid12129ND

Accepted Insurance

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. Shanon Robert Ray 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 ID5395835987
PECOS Enrollment IDI20071219000710

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.
291 services36 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.
162 services19 patients

Other Providers at the Same Location NPPES

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

Chiropractor
418 DEMERS AVE
EAST GRAND FORKS, MN 56721

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 Shanon Ray's NPI number?

The NPI number for Shanon Ray is 1164603833. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Shanon Ray located?

Shanon Ray practices at 418 Demers Ave, East Grand Forks, MN 56721. The listed phone number is (218) 773-8403.

What is Shanon Ray's specialty?

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

Is Shanon Ray enrolled in Medicare?

Yes. Shanon Ray 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.

What insurance does Shanon Ray accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica and Sanford Health Plan list Shanon Ray 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 Shanon Ray was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.