Sasha Jo Minor, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17946 Issued in FL

Practice address

699 2ND St
Chipley, FL 32428-1454

Phone

(850) 638-4708

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1124228291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 2ND ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281454",
            "telephone_number": "850-638-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 2ND ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281454",
            "telephone_number": "850-638-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "SASHA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masseeha McDonald, DMD
• Robert Jessie McDonald, RPH
• Brinson Lomax McGowan, D.O.
• Wade H Melvin, MD
• Heather Lea Hollister Miller, M.S.
• Taniazehra I Momin, PT
• Kristie Nicole Mzili, FNP-C
• NHC-Op LP
• Jessica Nicole Nisby, RBT
• Glen Charles Nobles Jr., NP-C

• General Practice Dentistry in Chipley, FL
• Providers in Chipley, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.