Maxim Chiropractic Three

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAXIM CHIROPRACTIC THREE

Practice address

1830 S Alma School Rd
Mesa, AZ 85210-3056

Phone

(480) 222-5170

Fax

(480) 222-5163

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Justin Fossum

Title

Manager

Phone

(480) 222-5170

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003960873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "fax_number": "480-222-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-222-5170",
            "fax_number": "480-222-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM CHIROPRACTIC THREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-222-5170"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0931560",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Meiling Mauric
• Justin Dominic Arthur Mauro, PA-C
• Liliana Mauser, PTA
• Lin M Maxfield, RN, BSN
• Steven R. Maxfield, M.D.
• Maxim Chiropractic Two
• Aaron M. Maxson, RPH
• Heidi Marie Maxson, R.N.
• Barbara Maxwell, D.P.T
• Donald K Maxwell, DO

• All providers in Mesa, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.