Individual provider Active NPI

William Joseph Minard, D.C.

  • Chiropractor
  • Sedona, AZ
National Provider Identifier
1407930779
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3532 Issued in AZ
Practice address
1785 W State Route 89a Ste 2H
Sedona, AZ 86336-5576
Phone
(928) 282-7591
Fax
(928) 282-7347
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3532 AZ Primary

Addresses

Primary practice location

1785 W State Route 89a Ste 2H
Sedona, AZ 86336-5576

Mailing address

PO Box 3608
Sedona, AZ 86340-3608
Phone (928) 282-7591

Other practice location 1

3095 W. Hwy. 89A
Sedona, AZ 86336
Phone (928) 282-7591

Other identifiers 1

IdentifierTypeStateIssuer
AZ0307680OtherAZBC/BS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000084 AZ Practitioner - Chiropractic 9638197817 Practice locations: Sedona, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3095 W Hwy 89a
Sedona, AZ 86336-5056
Phone (520) 282-7591

3095 W State Route 89a
Sedona, AZ 86336-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3532AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1407930779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3608",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863403608",
            "telephone_number": "928-282-7591",
            "fax_number": "928-282-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STATE ROUTE 89A STE 2H",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365576",
            "telephone_number": "928-282-7591",
            "fax_number": "928-282-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 W. Hwy. 89A",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "86336",
            "country_code": "US",
            "telephone_number": "928-282-7591",
            "fax_number": "928-282-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINARD",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "AZ0307680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.