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DR. ROGER PHILIP SHANNON D.C.
NPI 1760784045
Chiropractor in Delmar, NY

Active since November 19, 2010Accepts Medicare Assignment
397 KENWOOD AVE, DELMAR, NY 12054(518) 439-1916 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Philip Shannon D.c. NPPES

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

DR. ROGER PHILIP SHANNON D.C. (NPI 1760784045) is an individual chiropractor in Delmar, New York, licensed in New York (011939) and active in the NPI registry since November 2010. He is a graduate of Life Chiropractic College (2010).

NPPES Registry Identity

NPI1760784045
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ROGER PHILIP SHANNONCredential: D.C.
Location Address397 KENWOOD AVEDelmar, NY 12054-3248
Mailing Address397 Kenwood AveDelmar, NY 12054-3248 · (518) 439-1916
Phone(518) 439-1916
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2010
Enumeration DateNovember 19, 2010
Last NPPES UpdateJuly 11, 2011
✔ NPI 1760784045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 011939
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.
397 KENWOOD AVE, Delmar, NY 12054
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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. Roger Philip Shannon 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 ID8527238328
PECOS Enrollment IDI20110906000542

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, 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.
430 services35 patients

Other Providers at the Same Location NPPES 2

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

ALEXA MARIE BELOYIANIS DC
Chiropractor
397 KENWOOD AVE
DELMAR, NY 12054
Albany County (518) 439-1916
SHANNON CHIROPRACTIC WELLNESS LLC
Clinic/Center
397 KENWOOD AVE
DELMAR, NY 12054
Albany County (518) 439-1916

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 Roger Shannon's NPI number?

The NPI number for Roger Shannon is 1760784045. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Roger Shannon located?

Roger Shannon practices at 397 Kenwood Ave, Delmar, NY 12054. The listed phone number is (518) 439-1916.

What is Roger Shannon's specialty?

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

Is Roger Shannon enrolled in Medicare?

Yes. Roger Shannon 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 Roger Shannon was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.