James A Minervini, D.C.
Individual provider Active NPI Chiropractor · Cave Junction, OR
NPI 1033344494 · NPPES record last updated May 28, 2009
Key facts
- NPI
- 1033344494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3203 (OR)
- Practice address
- 202 W. Lister St
Cave Junction, OR 97523 - Phone
- (541) 592-6220
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness Center LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3203 | OR | Yes |
Addresses
Primary practice location
202 W. Lister St
Cave Junction, OR 97523
Mailing address
PO Box 1459
PMB 111
Cave Junction, OR 97523-1459
Phone (541) 592-6220
Other providers in Cave Junction, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.