Individual provider Active NPI

John Michael Minard, DC

  • Chiropractor
  • Burlington, IA
National Provider Identifier
1013435759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088451 Issued in IA
Practice address
903 N 7TH St
Burlington, IA 52601-4924
Phone
(319) 753-0173
Fax
(319) 753-0174
NPI assigned
Sep 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 088451 IA Primary

Addresses

Primary practice location

903 N 7TH St
Burlington, IA 52601-4924

Mailing address

903 N 7TH St
Burlington, IA 52601-4924
Phone (319) 753-0173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031000588 IA Practitioner - Chiropractic 6800162280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minard Chiropractic Incorporated 2 clinicians

Practice addresses (Care Compare)

903 N 7TH St
Burlington, IA 52601-4924
Phone (319) 753-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088451IAMDChiropractor

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Minard Chiropractic Incorporated Chiropractor CurrentSince Nov 15, 2017 Accepting new patients
SRR,PLLC Chiropractor PastSince Nov 15, 2017 Accepting new patients

Locations

903 N 7th St
Burlington, IA 52601
Phone (319) 753-0173

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013435759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014924",
            "telephone_number": "319-753-0173",
            "fax_number": "319-753-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014924",
            "telephone_number": "319-753-0173",
            "fax_number": "319-753-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARD",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.