Individual provider Active NPI

Gary J Minorik, D.C.

  • Chiropractor
  • Akron, OH
National Provider Identifier
1306878111
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1639 Issued in OH
Practice address
2620 W Market St
Akron, OH 44313-4204
Phone
(330) 869-6566
Fax
(330) 869-8066
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1639 OH Primary

Addresses

Primary practice location

2620 W Market St
Akron, OH 44313-4204

Mailing address

2620 W. Market Street
Fairlawn, OH 44313
Phone (330) 869-6566

Other identifiers 1

IdentifierTypeStateIssuer
0921908MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028000285 OH Practitioner - Chiropractic 7315908126 Practice locations: Akron, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2620 W Market St
Akron, OH 44313-4204
Phone (330) 869-6566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1639OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minorik Health and Wellness Center Inc CurrentSince Oct 9, 2015 Accepting new patients
Minorik Chiropractic Center Chiropractor PastSince Sep 4, 1995 Accepting new patients
Didio Chiropractic Center Chiropractor PastSince Jan 31, 2008 Accepting new patients

Locations

2620 W Market St
Akron, OH 44313
Phone (330) 869-6566

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1306878111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W. MARKET STREET",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-869-6566",
            "fax_number": "330-869-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443134204",
            "telephone_number": "330-869-6566",
            "fax_number": "330-869-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINORIK",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.