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DR. BRIAN M SHANNON D.C.
NPI 1942352877
Chiropractor in Wyckoff, NJ

Active since January 18, 2007Accepts Medicare Assignment
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481(201) 891-1155(201) 891-5522 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian M Shannon D.c. NPPES

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

DR. BRIAN M SHANNON D.C. (NPI 1942352877) is an individual chiropractor in Wyckoff, New Jersey, licensed in New Jersey (38MC00412700) and active in the NPI registry since January 2007. He is a graduate of New York Chiropractic College (1991).

NPPES Registry Identity

NPI1942352877
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRIAN M SHANNONCredential: D.C.
Location Address260 GODWIN AVE, SUITE 1Wyckoff, NJ 07481-5200
Mailing Address260 Godwin Ave, Suite 1Wyckoff, NJ 07481-5200 · (201) 891-1155 · Fax (201) 891-5522
Phone(201) 891-1155
Fax(201) 891-5522
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1991
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942352877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00412700
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.

260 GODWIN AVE, Wyckoff, NJ 07481
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Other Identifiers 2

Medicare UPINU26316NJ
Medicare ID-Type UnspecifiedSH703873NJ

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. Brian M 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 ID1658444997
PECOS Enrollment IDI20080721000423

Other Providers at the Same Location NPPES 9

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

DR. HAROLD IRA BERGER D.M.D.
Dentist (General Practice)
260 GODWIN AVE, SUITE 5
WYCKOFF, NJ 07481
Bergen County (201) 891-0008
RICHARD E HALL DDS PC
Dentist (General Practice)
260 GODWIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-8550
DR. JEFFREY LANE ROTHENBERG DDS
Dentist (General Practice)
260 GODWIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-8778
MS. LISA C MONTI R.D., M.S.
Dietitian, Registered
260 GODWIN AVE, REAR SUITE 2
WYCKOFF, NJ 07481
Bergen County (551) 404-4943
DR. CHRISTOPHER STEPHEN DELIA D.C.
Chiropractor
260 GODWIN AVE, SUITE 1
WYCKOFF, NJ 07481
Bergen County (201) 891-1155
TOTAL BODY REHABILITATION LLC
Chiropractor
260 GODWIN AVE, SUITE 1
WYCKOFF, NJ 07481
Bergen County (201) 891-1155
ALIREZA A. FOROUSHANI, PC
Clinic/Center
260 GODWIN AVE, SUITE 7
WYCKOFF, NJ 07481
Bergen County (201) 485-7518
JANELLE DIANA KING LMT
Massage Therapist
260 GODWIN AVE, SUITE 7
WYCKOFF, NJ 07481
Bergen County (973) 960-8222

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 Brian Shannon's NPI number?

The NPI number for Brian Shannon is 1942352877. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Brian Shannon located?

Brian Shannon practices at 260 Godwin Ave Suite 1, Wyckoff, NJ 07481. The listed phone number is (201) 891-1155.

What is Brian Shannon's specialty?

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

Is Brian Shannon enrolled in Medicare?

Yes. Brian 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 Brian Shannon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.