Maverick Chiropractic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAVERICK CHIROPRACTIC PLC

Doing business as

Maverick Chiropractic

Practice address

1133 Wayzata Blvd E Ste B
Wayzata, MN 55391-1950

Phone

(952) 737-1046

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael G. Rees, DC

Title

Owner

Phone

(952) 737-1046

Specialties & licenses 1

Addresses

Other names 1

• Maverick Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1013561760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WAYZATA BLVD E STE B",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911950",
            "telephone_number": "952-737-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WAYZATA BLVD E STE B",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911950",
            "telephone_number": "952-737-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-737-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maverick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maverick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.