Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shanon Robert Ray, DC

Individual provider Chiropractor · NPI 1164603833

Dr. Shanon Robert Ray, DC is a Chiropractic in East Grand Forks, Minnesota. Graduated from Northwestern College of Chiropractic in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

418 Demers Ave
East Grand Forks, MN 56721-1836
Phone: (218) 773-8403
Fax: (218) 773-9812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3582 (MN)

Record details

NPI number1164603833
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 21, 2007
Last updated in NPPESNovember 21, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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