Active NPI
Min Shin, D.C.
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1790020154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11177
- Practice address
- 1310 N Main St
Kissimmee, FL 34744-4244 - Phone
- (698) 297-4723
- Fax
- (321) 300-0771
- NPI assigned
- Dec 11, 2012
- 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 | CH11177 | FL | Primary |
Addresses
Primary practice location
1310 N Main St
Kissimmee, FL 34744-4244
Mailing address
2828 Saffron Dr
Orlando, FL 32837-7504
Phone (407) 403-1556
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11177 | FL | MD | Chiropractor |
| 1740 | NE | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innatus PC | Chiropractor | Past | Accepting new patients |
| Jnac Limited | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1033659008
-
- Chiropractor
- North Platte, NE
- NPI 1720288665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1790020154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 SAFFRON DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377504",
"telephone_number": "407-403-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444244",
"telephone_number": "698-297-4723",
"fax_number": "321-300-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "MIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.