Organization Active NPI

Minim Inc.

  • Chiropractor
  • Edgewater, FL
National Provider Identifier
1750897286
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10371 Issued in FL
Legal business name
MINIM INC.
Practice address
103 E Connecticut Ave
Edgewater, FL 32132-2360
Phone
(386) 423-7572
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Christian Patrick Grause, DCNPI 1396023313
Title
President
Phone
(386) 506-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10371 FL Primary

Addresses

Primary practice location

103 E Connecticut Ave
Edgewater, FL 32132-2360

Mailing address

4516 Saxon Dr
New Smyrna Beach, FL 32169-4137
Phone (386) 506-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412000947 FL Part B Supplier - Clinic/Group Practice 1052674629 Receives reassigned benefits from 1 practitioner
Practice locations: Edgewater, FL

National Provider Directory

National Provider Directory

Locations

103 E Connecticut Ave
Edgewater, FL 32132
Phone (386) 423-7572

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1750897286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 SAXON DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694137",
            "telephone_number": "386-506-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E CONNECTICUT AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322360",
            "telephone_number": "386-423-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "GRAUSE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-506-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.