Active NPIIndividual providerSole proprietor

Dr. Tyran G Mincey, DC

Chiropractor in Montclair, New Jersey

NPI Number1770661647
Practice location
295 Bloomfield Ave, Commercial Unit #1, Montclair, NJ 07042-3643
Fax
973-744-5511
Last updated
December 23, 2011

Tyran G Mincey is a Chiropractor based in Montclair, NJ. Tyran G Mincey practices in Montclair, NJ and has the professional credentials of DC. The NPI Number for Tyran G Mincey is 1770661647 and holds a License No. 38MC00543600 (NJ). The current practice location address for Tyran G Mincey is 295 Bloomfield Ave, Commercial Unit #1, Montclair, NJ 07042-3643 and can be reached out via phone at 973-744-1155 and via fax at 973-744-5511.

Provider Profile Details

NPI Number
1770661647
Provider Name
Tyran G Mincey
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
295 Bloomfield Ave, Commercial Unit #1, Montclair, NJ 07042-3643
Phone Number
973-744-1155
Fax Number
973-744-5511
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
December 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Bloomfield Ave
Commercial Unit #1
Montclair, NJ 07042-3643
Zip
07042-3643
Phone Number
973-744-1155
Fax Number
973-744-5511
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
295 Bloomfield Ave
Commercial Unit #5
Montclair, NJ 07042-3643
City
Montclair
State
NJ
Zip
07042-3643
Phone Number
973-744-1155
Fax Number
973-744-5511

License Information

License Number
38MC00543600
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tyran G Mincey, DC?

The NPI number of Dr. Tyran G Mincey, DC is 1770661647. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Tyran G Mincey, DC?

Dr. Tyran G Mincey, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00543600.

Where does Dr. Tyran G Mincey, DC practice?

The practice location is 295 Bloomfield Ave, Commercial Unit #1, Montclair, NJ 07042-3643. The office can be reached at 973-744-1155 (phone) or 973-744-5511 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770661647 directly on the NPPES registry website.

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