Individual provider Active NPI

Kevy Smith Minogue, D.C.

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1255871448
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0129341 Issued in NY
Practice address
3303 Route 9
Saratoga Springs, NY 12866-6230
Phone
(518) 587-2064
Fax
(518) 587-0850
NPI assigned
Mar 7, 2017
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0129341 NY Primary

Addresses

Primary practice location

3303 Route 9
Saratoga Springs, NY 12866-6230

Mailing address

3303 Route 9
Saratoga Springs, NY 12866-6230
Phone (518) 587-2064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403001611 NY Practitioner - Chiropractic 0941585038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0129341NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matt E. Smith Chiropractic PLLC Chiropractor CurrentSince Mar 20, 2017 Accepting new patients
Tiny Sprouts Chiropractic PLLC PastSince Mar 20, 2017 Accepting new patients

Locations

3303 Route 9
Saratoga Springs, NY 12866
Phone (518) 587-2064

3303 Route 9
Ste 1
Saratoga Springs, NY 12866
Phone (518) 350-4365

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1255871448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666230",
            "telephone_number": "518-587-2064",
            "fax_number": "518-587-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666230",
            "telephone_number": "518-587-2064",
            "fax_number": "518-587-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOGUE",
        "first_name": "KEVY",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0129341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.