Active NPI
Megan Kathleen Minner, DC
- Chiropractor
- Washington, MO
National Provider Identifier
1003002486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2007027755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100652 | Other | MO | CIGNA PIN |
| 261152778MIN | Other | MO | MERCY PIN |
| 714177 | Other | MO | UNITED HEALTHCARE PIN |
| 9058107 | Other | MO | AETNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007027755 | MO | MD | Chiropractor |
Practice roles (1 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minner Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Washington, MO
- NPI 1093904856
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.