Active NPI
Kayla Minniear, DC
- Chiropractor
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002841A
- Practice address
- 1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078 - Phone
- (812) 333-7447
- Fax
- (812) 333-7442
- NPI assigned
- Sep 1, 2016
- Last updated
- Jul 9, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002841A | IN | Primary |
Addresses
Primary practice location
1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078
Mailing address
1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078
Phone (812) 333-7447
Other practice location 1
202 E Temperance St
Ellettsville, IN 47429-1836
Phone (260) 307-2673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300037063 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1332 W Arch Haven Ave
Suite C
Bloomington, IN 47403-2078
Phone (812) 333-7447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Balance Physical Medicine LLC | Chiropractor | Current | Accepting new patients |
| Paragon Wellness Center, LLC | Chiropractor | Current | Accepting new patients |
| Body Balance Physical Medicine LLC | Current | Accepting new patients | |
| True Health Chiropractic and Sports Rehab, PLLC | Chiropractor | Past | Accepting new patients |
| Community Physicians of Indiana Inc | Past | Accepting new patients |
Locations
1332 W Arch Haven Ave
Ste C
Bloomington, IN 47403
Phone (812) 272-3700
Organizations & group practices 5
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.
-
- Chiropractor
- Bloomington, IN
- NPI 1740469709
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- Physical Medicine & Rehabilitation Physician
- Terre Haute, IN
- NPI 1548515885
Chiropractor
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- Terre Haute, IN
- NPI 1972920031
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Chiropractor
- Ellettsville, IN
- NPI 1750646998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657324800000",
"number": "1841747490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 W ARCH HAVEN AVE STE C",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032078",
"telephone_number": "812-333-7447",
"fax_number": "812-333-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 W ARCH HAVEN AVE STE C",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032078",
"telephone_number": "812-333-7447",
"fax_number": "812-333-7442"
}
],
"practiceLocations": [
{
"address_1": "202 E TEMPERANCE ST",
"address_purpose": "LOCATION",
"city": "ELLETTSVILLE",
"state": "IN",
"postal_code": "474291836",
"country_code": "US",
"telephone_number": "260-307-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINNIEAR",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002841A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300037063",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.