Raven Minor, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010907 Issued in GA

Practice address

1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197

Phone

(770) 370-7588

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Minor Chiropractic Works LLC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1962125161
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1033827381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW STE 303",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447197",
            "telephone_number": "770-370-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW STE 303",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447197",
            "telephone_number": "770-370-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "RAVEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind & Body Christian Therapist Group
• Mindcare Wellness LLC
• Matthew Mineo
• Minor Chiropractic Works LLC
• Porshe Tiara Minor, DC
• Sher Mirza, NP
• Fianna Mischel
• Anna Mistretta-Bradley, LPC
• Briana Leggett Mitchell, M.A.
• Joy Mitchell

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.