Active NPI
Minor Chiropractic Works LLC
- Chiropractor
- Kennesaw, GA
National Provider Identifier
1962125161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MINOR CHIROPRACTIC WORKS LLC
- Practice address
- 1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197 - Phone
- (770) 370-7588
- NPI assigned
- Sep 22, 2022
- Last updated
- Sep 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Porshe Tiara Minor, DC
- Title
- Co Owner
- Phone
- (901) 603-2623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197
Mailing address
1050 Shiloh Rd NW Ste 303
Kennesaw, GA 30144-7197
Phone (770) 370-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700532884 | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Kennesaw, GA
- NPI 1700532884
-
- Chiropractor
- Kennesaw, GA
- NPI 1033827381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1962125161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SHILOH RD NW STE 303",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447197",
"telephone_number": "770-370-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SHILOH RD NW STE 303",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447197",
"telephone_number": "770-370-7588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINOR CHIROPRACTIC WORKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "MINOR",
"authorized_official_first_name": "PORSHE",
"authorized_official_middle_name": "TIARA",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "901-603-2623",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700532884",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.