Individual provider Active NPI

Ralph Jim Minico Jr., DC

  • Chiropractor
  • Chapin, SC
National Provider Identifier
1356322671
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2441 Issued in SC
Practice address
203 Amicks Ferry Rd
Suite 800
Chapin, SC 29036-8663
Phone
(803) 932-9399
Fax
(803) 932-9299
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2441 SC Primary
Chiropractor 111N00000X 2301006644 MI

Addresses

Primary practice location

203 Amicks Ferry Rd
Suite 800
Chapin, SC 29036-8663

Mailing address

203 Amicks Ferry Rd
Suite 800
Chapin, SC 29036-8663
Phone (803) 932-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2441SCMDMarriage & Family Therapist
2301006644MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brannon Family Chiropractic LLC Chiropractor Current Accepting new patients
Brannon Family Chiropractic LLC Chiropractor Current Accepting new patients
Jason J. Hesselberg DC PLLC Chiropractor Past Accepting new patients

Locations

203 Amicks Ferry Rd
Chapin, SC 29036
Phone (803) 932-9399

203 Amicks Ferry Rd
Ste 800
Chapin, SC 29036
Phone (803) 932-9399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1356322671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD",
            "address_2": "SUITE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368663",
            "telephone_number": "803-932-9399",
            "fax_number": "803-932-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD",
            "address_2": "SUITE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368663",
            "telephone_number": "803-932-9399",
            "fax_number": "803-932-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICO",
        "first_name": "RALPH",
        "middle_name": "JIM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2441",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.