DR. ROGER PHILIP SHANNON D.C.
NPI 1760784045
Chiropractor in Delmar, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Roger Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Delmar, NY 12054
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Roger Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roger Shannon reassigns Medicare benefits to Shannon Chiropractic Wellness LLC (Delmar, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Roger Philip Shannon, D.C. · NPI 1760784045
Chiropractor provider in Delmar, New York. Individual provider, active in the CMS NPPES registry since November 19, 2010.
## Identity
- **NPI:** 1760784045 (Entity type: Individual)
- **Enumerated:** November 19, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 011939 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 397 KENWOOD AVE, Delmar, NY 12054-3248
- **Phone:** (518) 439-1916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Shannon Chiropractic Wellness LLC (NPI 1649568734, Delmar, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2010
## Record status
- **NPPES last updated:** July 11, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1760784045) · Data from the CMS NPPES public registry.