R. Alan Minks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

806 Issued in MS

Practice address

3400 Goodman Rd W
Horn Lake, MS 38637-1174

Phone

(662) 342-5368

Fax

(662) 342-7980

NPI assigned

Aug 22, 2005

Last updated

Apr 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Newsom Healthcare of Desoto County, LLC

  • Primary Care Clinic/Center
  • Horn Lake, MS
  • NPI 1205243649
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1275525586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 GOODMAN RD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371174",
            "telephone_number": "662-342-5368",
            "fax_number": "662-342-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 GOODMAN RD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371174",
            "telephone_number": "662-342-5368",
            "fax_number": "662-342-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKS",
        "first_name": "R.",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115448",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid South Chiropractic of Horn Lake PLLC
• Ragan Danielle Middleton, SLPMI
• William E. Middleton Jr., D.D.S.
• Midsouth Medical Specialties LLC (Super Drug)
• Midsouth Medical Specialties LLC (Super Drugs)
• Kelsey Barnett Mize
• Yolanda Murry, FNP-C
• Newsom Healthcare of Desoto County, LLC
• Newsom Healthcare, Inc
• Sandra Newsom, FNP

• Chiropractor in Horn Lake, MS
• Providers in Horn Lake, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.