Dustin Rio Minnick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5406 Issued in NC

Practice address

1205 N Cannon Blvd
Kannapolis, NC 28083-2862

Phone

(815) 209-6909

NPI assigned

Oct 27, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cannon Chiropractic PLLCGroup PAC ID 6204298813, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Cannon Chiropractic PLLC

  • Occupational Health Chiropractor
  • Kannapolis, NC
  • NPI 1548976566
  Medicare reassignment Care Compare group NPD
• Minnick Clinic Chiropractic & Rehabilitation PLLC

  • Chiropractor
  • Kannapolis, NC
  • NPI 1922763689
  Authorized official Same address or phone
• Trull Chiropractic PA

  • Chiropractor
  • Kannapolis, NC
  • NPI 1043287642
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1265196059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280832862",
            "telephone_number": "815-209-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280832862",
            "telephone_number": "815-209-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "DUSTIN",
        "middle_name": "RIO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 N Cannon Blvd",
            "city": "Kannapolis",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280832862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lydia Miller
• Matthew Scott Miller, RPH
• Megan Miller
• June Minier, RN
• Minnick Clinic Chiropractic & Rehabilitation PLLC
• Monarch
• Monarch
• Monarch
• Monarch
• Lindsay Scherer Montgomery, DDS/DENTIST

• Chiropractor in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.