Active NPI
Ralph Jim Minico Jr., DC
- Chiropractor
- Chapin, SC
National Provider Identifier
1356322671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2441 | SC | MD | Marriage & Family Therapist |
| 2301006644 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Prosperity, SC
- NPI 1578319141
-
- Chiropractor
- Chapin, SC
- NPI 1982011623
-
- Chiropractor
- Ypsilanti, MI
- NPI 1245459221
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.