Individual provider Active NPI

Megan Kathleen Minner, DC

  • Chiropractor
  • Washington, MO
National Provider Identifier
1003002486
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007027755 Issued in MO
Practice address
1115 E 5TH St
Washington, MO 63090-3303
Phone
(636) 239-9997
Fax
(636) 239-9931
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007027755 MO Primary

Addresses

Primary practice location

1115 E 5TH St
Washington, MO 63090-3303

Mailing address

1115 E 5TH St
Washington, MO 63090-3303
Phone (636) 239-9997

Other identifiers 4

IdentifierTypeStateIssuer
1100652OtherMOCIGNA PIN
261152778MINOtherMOMERCY PIN
714177OtherMOUNITED HEALTHCARE PIN
9058107OtherMOAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000015 MO Practitioner - Chiropractic 4284722240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 E 5TH St
Washington, MO 63090-3303
Phone (636) 239-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007027755MOMDChiropractor

Practice roles (1 of 7)

OrganizationSpecialtyStatusNew patients
Minner Chiropractic LLC Chiropractor CurrentSince Oct 12, 2007 Accepting new patients

Locations

1115 E 5th St
Washington, MO 63090
Phone (636) 239-7366

Networks

  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1003002486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903303",
            "telephone_number": "636-239-9997",
            "fax_number": "636-239-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903303",
            "telephone_number": "636-239-9997",
            "fax_number": "636-239-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNER",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007027755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "1100652",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY PIN",
            "identifier": "261152778MIN",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PIN",
            "identifier": "714177",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "9058107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.