Revelation Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4203 Issued in OH

Legal business name

REVELATION CHIROPRACTIC, LLC

Practice address

6360 Tylersville Rd
Suite G
Mason, OH 45040-1210

Phone

(513) 770-0553

Fax

(513) 770-0773

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Minnich, D.C.

Title

Co-Owner

Phone

(513) 770-0553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1922389113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 TYLERSVILLE RD",
            "address_2": "SUITE G",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401210",
            "telephone_number": "513-770-0553",
            "fax_number": "513-770-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 TYLERSVILLE RD",
            "address_2": "SUITE G",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401210",
            "telephone_number": "513-770-0553",
            "fax_number": "513-770-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-770-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Reichard, PT, DPT
• Barry W Reid, DC
• Elisabeth Nicole Renner
• Sarah Reno, LISW
• Bryan Alexander Renz
• Jessica N Reynolds, R.EEG.T
• Jeff A Rhein, PCC-SUPV
• Collin Rhoade, MA, LPCC
• Talliyah Rhone, RBT
• Christopher Ray Richards, D.C.

• Chiropractor in Mason, OH
• Providers in Mason, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.