Individual provider Active NPI

Shannon Midori McIlnay, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1932378676
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30842 Issued in CA
Practice address
151 N Sunrise Ave Ste 907
Roseville, CA 95661-2929
Phone
(916) 786-5828
Fax
(916) 786-5055
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30842 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 907
Roseville, CA 95661-2929

Mailing address

151 N Sunrise Ave Ste 907
Roseville, CA 95661-2929
Phone (916) 786-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30842CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelley Chiropractic Chiropractor CurrentSince Feb 21, 2008 Accepting new patients
Christopher Kelley Chiropractic Chiropractor CurrentSince Apr 30, 2023 Accepting new patients

Locations

151 N Sunrise Ave
Ste 701
Roseville, CA 95661
Phone (916) 782-4440

151 N Sunrise Ave
Ste 907
Roseville, CA 95661
Phone (916) 786-5828

Organizations & group practices 2

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1932378676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 907",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612929",
            "telephone_number": "916-786-5828",
            "fax_number": "916-786-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 907",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612929",
            "telephone_number": "916-786-5828",
            "fax_number": "916-786-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILNAY",
        "first_name": "SHANNON",
        "middle_name": "MIDORI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.