Individual provider Active NPI

Shannon Doyle McKinney, D.C.

  • Chiropractor
  • Elko, NV
National Provider Identifier
1982761672
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01779 Issued in NV
Practice address
1810 Pinion Rd
Elko, NV 89801-4393
Phone
(775) 753-7387
Fax
(775) 738-4918
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3136171202 UT
Chiropractor 111N00000X B01779 NV Primary

Addresses

Primary practice location

1810 Pinion Rd
Elko, NV 89801-4393

Mailing address

1810 Pinion Rd
Elko, NV 89801-4393
Phone (801) 691-1581

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
3136171202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Medical PLLC CurrentSince Nov 2, 2020 Accepting new patients
Maple Mountain Spinal Rehab, PLLC Chiropractor Past Accepting new patients
Yakima Chiropractic Centres, Inc. P.SD. Chiropractor Past Accepting new patients
Sunnyside Chiropractic Centre P S Chiropractor PastSince Dec 23, 2005 Accepting new patients

Locations

1810 Pinion Rd
Elko, NV 89801
Phone (775) 738-7178

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1982761672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PINION RD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014393",
            "telephone_number": "801-691-1581",
            "fax_number": "775-738-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PINION RD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014393",
            "telephone_number": "775-753-7387",
            "fax_number": "775-738-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "SHANNON",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3136171202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.