Individual provider Active NPI

Cary Dane Minor, DC

  • Chiropractor
  • Iola, KS
National Provider Identifier
1093824740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-5050 Issued in KS
Practice address
221 S Washington
Iola, KS 66749-3252
Phone
(620) 365-2524
Fax
(620) 365-2523
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-5050 KS Primary

Addresses

Primary practice location

221 S Washington
Iola, KS 66749-3252

Mailing address

221 S Washington
Iola, KS 66749-3252
Phone (620) 365-2524

Other identifiers 2

IdentifierTypeStateIssuer
693237OtherUNITED HEALTHCARE
62301OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051207000810 MO Practitioner - Chiropractic 5092736934 Reassigns benefits to 1 organization
I20060913000652 KS Practitioner - Chiropractic 5092736934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andy Minor Chiropractic PCGroup PAC ID 2769439751, 2 clinicians

Practice addresses (Care Compare)

221 S Washington Ave
Iola, KS 66749-3252
Phone (620) 365-2524

801 W Main St
Blue Springs, MO 64015-3707
Phone (816) 228-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-5050KSMDChiropractor

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S WASHINGTON",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667493252",
            "telephone_number": "620-365-2524",
            "fax_number": "620-365-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S WASHINGTON",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667493252",
            "telephone_number": "620-365-2524",
            "fax_number": "620-365-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "CARY",
        "middle_name": "DANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "693237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.