Active NPI
Joey Carl Minder, D.C.
- Chiropractor
- Burlington, NC
National Provider Identifier
1619963360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1924
- Practice address
- 1625 S Church St
Burlington, NC 27215-5601 - Phone
- (336) 570-2447
- Fax
- (336) 570-9307
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1924 | NC | Primary |
Addresses
Primary practice location
1625 S Church St
Burlington, NC 27215-5601
Mailing address
1625 S Church St
Burlington, NC 27215-5601
Phone (336) 570-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7908324 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1924 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619963360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 S CHURCH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155601",
"telephone_number": "336-570-2447",
"fax_number": "336-570-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S CHURCH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155601",
"telephone_number": "336-570-2447",
"fax_number": "336-570-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDER",
"first_name": "JOEY",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908324",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.