Mini Invasive Orthopedics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301104354 Issued in MI

Legal business name

MINI INVASIVE ORTHOPEDICS

Practice address

27789 Mound Rd Ste 100
Warren, MI 48092-2697

Phone

(313) 209-3353

Fax

(313) 406-7255

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Sam Hakki Hackette, MDNPI 1043253602

Title

Owner

Phone

(727) 422-4680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Mini Invasive Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mini Invasive Orthopedics

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1477173508
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Hakki Hackette, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1043253602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1467803296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483110880",
            "telephone_number": "727-422-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 MOUND RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922697",
            "telephone_number": "313-209-3353",
            "fax_number": "313-406-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI INVASIVE ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HAKKI HACKETTE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-422-4680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301104354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayma Mim
• Chantelle Mims, DO
• Alexia Elisabeth Minanov, M.D.
• Kyle Donald Minaudo, LMT
• Wendy Minelli
• Mini Invasive Orthopedics
• Minimally Invasive Pain Specialists PLLC
• Elease Minion
• Kerri Alys Minor, FNP-BC
• Mir Homecare LLC

• Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.