Tyran G Mincey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00543600 Issued in NJ

Practice address

295 Bloomfield Ave
Commercial Unit #1
Montclair, NJ 07042-3643

Phone

(973) 744-1155

Fax

(973) 744-5511

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1770661647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BLOOMFIELD AVE",
            "address_2": "COMMERCIAL UNIT #5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423643",
            "telephone_number": "973-744-1155",
            "fax_number": "973-744-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BLOOMFIELD AVE",
            "address_2": "COMMERCIAL UNIT #1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423643",
            "telephone_number": "973-744-1155",
            "fax_number": "973-744-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCEY",
        "first_name": "TYRAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00543600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Milici, PA
• Bruce Nils Miller, PHD
• Kenneth Miller, MD FACC FSCAI
• Raymond Charles Miller III, LMT
• Margaret Louise Mills, CMT
• Mind & Body Healing Therapy Center, LLC
• Mindful Therapeutic Solutions LLC
• Minds in Motion Global LLC
• Ebony James Mines
• Minos Work Program LLC

• Chiropractor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.