Individual provider Active NPI

Shannon Ryan Di Iorio, DC

  • Chiropractor
  • Kingston, TN
National Provider Identifier
1013720010
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3927 Issued in TN
Practice address
1260 Gallaher Rd Ste Ac
Kingston, TN 37763-4139
Phone
(865) 248-8167
Fax
(865) 248-8125
NPI assigned
Jan 31, 2025
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3927 TN Primary

Addresses

Primary practice location

1260 Gallaher Rd Ste Ac
Kingston, TN 37763-4139

Mailing address

1364 Interstate Dr Ste 101
Crossville, TN 38555-6187
Phone (931) 456-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250505000387 IL Practitioner - Chiropractic 0941727994 Reassigns benefits to 1 organization
I20260320002924 TN Practitioner - Chiropractic 0941727994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford ChiropracticGroup PAC ID 3375712193, 9 clinicians

Practice addresses (Care Compare)

1260 Gallaher Rd
Suite B
Kingston, TN 37763-4139
Phone (865) 248-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3927TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David C Di Iorio PC CurrentSince Mar 25, 2025 Accepting new patients
Crawford Chiropractic Chiropractor CurrentSince Mar 9, 2026 Accepting new patients
Active Family & Sports Chiropractic PLLC Chiropractor PastSince Mar 9, 2026 Accepting new patients

Locations

421 Hamilton St
Geneva, IL 60134
Phone (630) 232-6321

1364 Interstate Dr
Ste 101
Crossville, TN 38555
Phone (931) 456-8880

1260 Gallaher Rd
Ste Ac
Kingston, TN 37763
Phone (865) 248-8167

1260 Gallaher Rd
Ste B
Kingston, TN 37763
Phone (865) 248-8167

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1013720010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 INTERSTATE DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556187",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 GALLAHER RD STE AC",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634139",
            "telephone_number": "865-248-8167",
            "fax_number": "865-248-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI IORIO",
        "first_name": "SHANNON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.