Organization Active NPI

Andy Minor, Chiropractic PC

  • Rehabilitation Chiropractor
  • Blue Springs, MO
National Provider Identifier
1376737668
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2005001169 Issued in MO
Legal business name
ANDY MINOR, CHIROPRACTIC PC
Practice address
801 W Main St
Blue Springs, MO 64015-3707
Phone
(816) 228-5522
Fax
(816) 220-0205
NPI assigned
Aug 30, 2007
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Andy Lane Minor, D.C.NPI 1174642748
Title
Chiropractor
Phone
(816) 228-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2005001169 MO Primary

Addresses

Primary practice location

801 W Main St
Blue Springs, MO 64015-3707

Mailing address

801 W Main St
Blue Springs, MO 64015-3707
Phone (816) 228-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000329 MO Part B Supplier - Clinic/Group Practice 2769439751 Receives reassigned benefits from 2 practitioners
Practice locations: Blue Springs, MO

National Provider Directory

National Provider Directory

Locations

1241 SW State Route 7
Blue Springs, MO 64014
Phone (816) 228-5522

109 S Madison St
Ste A
Raymore, MO 64083
Phone (816) 381-3136

410 Remington Plaza Ct
Raymore, MO 64083
Phone (816) 322-2400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1376737668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153707",
            "telephone_number": "816-228-5522",
            "fax_number": "816-220-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153707",
            "telephone_number": "816-228-5522",
            "fax_number": "816-220-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY MINOR, CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-228-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2005001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.