Active NPI
Kendal B Minnich, MD
- Family Medicine Physician
- Candler, NC
National Provider Identifier
1497704878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94-01274
- Practice address
- 1219 Smokey Park Hwy
Hominy Valley Family Health Center
Candler, NC 28715 - Phone
- (828) 258-8681
- Fax
- (828) 253-4830
- NPI assigned
- May 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-01274 | NC | Primary |
Addresses
Primary practice location
1219 Smokey Park Hwy
Hominy Valley Family Health Center
Candler, NC 28715
Mailing address
206 Asheland Ave
Asheville, NC 28801
Phone (828) 258-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901209 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-01274 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Health Centers, PA | Family Medicine | Current | Accepting new patients |
Locations
206 Asheland Ave
Asheville, NC 28801
Phone (828) 258-8681
1219 Smokey Park Hwy
Candler, NC 28715
Phone (828) 258-8681
Interoperability endpoints
- https://api.platform.athenahealth.com/33492/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1417906942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1497704878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 ASHELAND AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-258-8681",
"fax_number": "828-253-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 SMOKEY PARK HWY",
"address_2": "HOMINY VALLEY FAMILY HEALTH CENTER",
"city": "CANDLER",
"state": "NC",
"postal_code": "28715",
"telephone_number": "828-258-8681",
"fax_number": "828-253-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICH",
"first_name": "KENDAL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "94-01274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901209",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.