Active NPI
Dennis G Minister, MD
- Internal Medicine Physician
- Grants Pass, OR
National Provider Identifier
1720193907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD152362
- Practice address
- 537 Union Ave
First Floor
Grants Pass, OR 97527-5543 - Phone
- (541) 507-2170
- Fax
- (541) 507-2171
- NPI assigned
- Aug 20, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD152362 | OR | Primary |
Addresses
Primary practice location
537 Union Ave
First Floor
Grants Pass, OR 97527-5543
Mailing address
2620 East Barnett Rd
Suite H
Medford, OR 97504-8383
Phone (541) 789-4281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500632361 | Medicaid | OR |
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 |
|---|---|---|---|
| MD152362 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1720193907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAST BARNETT RD",
"address_2": "SUITE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-789-4281",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 UNION AVE",
"address_2": "FIRST FLOOR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275543",
"telephone_number": "541-507-2170",
"fax_number": "541-507-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINISTER",
"first_name": "DENNIS",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD152362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500632361",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.