Porshe Tiara Minor, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO010689 Issued in GA

Practice address

1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197

Phone

(770) 370-7588

NPI assigned

Feb 27, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minor Chiropractic Works LLC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1962125161
  Authorized official Same address or phone

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

{
    "created_epoch": "1645920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1700532884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 POWERS FERRY RD SE UNIT 1566",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395158",
            "telephone_number": "901-603-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW STE 303",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447197",
            "telephone_number": "770-370-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "PORSHE",
        "middle_name": "TIARA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-27",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO010689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.minorchiroworks.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1050 Shiloh Rd NW Ste 303",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bailee Caroline Mims, DC
• Mind & Body Christian Therapist Group
• Mindcare Wellness LLC
• Matthew Mineo
• Minor Chiropractic Works LLC
• Raven Minor, DC
• Sher Mirza, NP
• Fianna Mischel
• Anna Mistretta-Bradley, LPC
• Briana Leggett Mitchell, M.A.

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.