Organization Active NPI

Clinton M Minter DC, PLLC

  • Chiropractor
  • Gainesville, TX
National Provider Identifier
1922515337
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12930 Issued in TX
Legal business name
CLINTON M MINTER DC, PLLC
Practice address
427 N Grand Ave
Gainesville, TX 76240-4323
Phone
(940) 665-0088
Fax
(940) 665-0183
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Clinton Minter, DC
Title
Doctor/Owner
Phone
(940) 665-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12930 TX Primary

Addresses

Primary practice location

427 N Grand Ave
Gainesville, TX 76240-4323

Mailing address

427 N Grand Ave
Gainesville, TX 76240-4323
Phone (940) 665-0088

Other identifiers 1

IdentifierTypeStateIssuer
1538532056OtherTXRENDERRING NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1922515337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404323",
            "telephone_number": "940-665-0088",
            "fax_number": "940-665-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404323",
            "telephone_number": "940-665-0088",
            "fax_number": "940-665-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON M MINTER DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "940-665-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERRING NPI",
            "identifier": "1538532056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.