Individual provider Active NPI

Jason B Minsky, D.C.

  • Chiropractor
  • Monroe, NC
National Provider Identifier
1972673283
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3364 Issued in NC
Practice address
1309 E Sunset Dr
Monroe, NC 28112-4324
Phone
(704) 296-9090
Fax
(704) 296-9584
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3364 NC Primary

Addresses

Primary practice location

1309 E Sunset Dr
Monroe, NC 28112-4324

Mailing address

1309 E Sunset Dr
Monroe, NC 28112-4324
Phone (704) 296-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3364NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Carolinas, PLLC CurrentSince May 5, 2021 Accepting new patients
Pridemore Family Chiropractic PC Chiropractor Past Accepting new patients
New Life Chiropractic and Wellness Inc Past Accepting new patients
Healthsource of Leland, PLLC Chiropractor PastSince Sep 27, 2011 Accepting new patients
Preston Optometry Center, PA PastSince Feb 17, 2010 Accepting new patients
Center for Spinal Surgery Prevention Chiropractor PastSince Aug 11, 2005 Accepting new patients
Healthsource of Cary, PLLC Chiropractor PastSince Mar 19, 2012 Accepting new patients

Locations

4705 South Blvd
Charlotte, NC 28217
Phone (704) 525-6288

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1972673283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E SUNSET DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124324",
            "telephone_number": "704-296-9090",
            "fax_number": "704-296-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E SUNSET DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124324",
            "telephone_number": "704-296-9090",
            "fax_number": "704-296-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSKY",
        "first_name": "JASON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.