Organization Active NPI

Minor Chiropractic Works LLC

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1962125161
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Dr. Porshe Tiara Minor, DCNPI 1700532884
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1700532884MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.