Daniel Quentin Minert, C. O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

10020 Professional Drive
Suite 140
Hamburg, MI 48139-0215

Phone

(810) 231-6905

Fax

(810) 231-6906

NPI assigned

Feb 21, 2006

Last updated

Apr 15, 2011By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kensington Valley Orthotic & Sports Services

  • Prosthetic/Orthotic Supplier
  • Hamburg, MI
  • NPI 1528033909
  NPD (past) Authorized official

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1306811765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390215",
            "telephone_number": "810-231-6905",
            "fax_number": "810-231-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 PROFESSIONAL DRIVE",
            "address_2": "SUITE 140",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390215",
            "telephone_number": "810-231-6905",
            "fax_number": "810-231-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERT",
        "first_name": "DANIEL",
        "middle_name": "QUENTIN",
        "name_prefix": "Mr.",
        "credential": "C. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4489299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "510D703120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Koziol, DPT
• Livingston Eyecare Associates, LLC
• Amanda McClain
• Michigan Rehabilitation Specialists House Calls, P.C.
• Michigan Rehabilitation Specialists, LLC
• Occupational Therapy Services, Inc. (JUMP-IN Professional Services)
• Kimberly Ann Ozias, OTR/L
• Stephanie Lynn Peterson, M.D.
• Brianna Porath, DPT
• Ram Pharmacy, Inc (Hamburg Pharmacy)

• Orthotist in Hamburg, MI
• Providers in Hamburg, MI by specialty
• Orthotist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.