Individual provider Active NPI

John Joseph Minoli, M.D., F.A.C.S.

  • Plastic Surgery Physician
  • Henderson, NV
National Provider Identifier
1043350754
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
9979 Issued in NH
Practice address
870 Seven Hills Dr
Suite 101
Henderson, NV 89052-4377
Phone
(702) 459-3223
Fax
(702) 260-0275
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 9979 NH Primary

Addresses

Primary practice location

870 Seven Hills Dr
Suite 101
Henderson, NV 89052-4377

Mailing address

870 Seven Hills Dr
Suite 101
Henderson, NV 89052-4377
Phone (702) 459-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9979NHMDPlastic Surgery Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGIJCD/Endpoint/FGIJCD

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1043350754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524377",
            "telephone_number": "702-459-3223",
            "fax_number": "702-260-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524377",
            "telephone_number": "702-459-3223",
            "fax_number": "702-260-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOLI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.