Active NPI
Denise Marie Maxwell, D.C.
- Chiropractor
- Temecula, CA
National Provider Identifier
1043396500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22074
- Practice address
- 40967 Winchester Rd
Temecula, CA 92591 - Phone
- (951) 296-5286
- Fax
- (951) 296-5287
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22074 | CA | Primary |
Addresses
Primary practice location
40967 Winchester Rd
Temecula, CA 92591
Mailing address
730 Nordahl Rd
Suite 107
San Marcos, CA 92069
Phone (760) 746-9230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629001331 | CA | Practitioner - Chiropractic | 6800832825 | Practice locations: Fallbrook, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3429 Avocado Vista LN
Fallbrook, CA 92028-7869
Phone (760) 310-5272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22074 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas L. Reich Chiropractic Wellness Center, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- San Marcos, CA
- NPI 1043338767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1043396500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 NORDAHL RD",
"address_2": "SUITE 107",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "92069",
"telephone_number": "760-746-9230",
"fax_number": "760-746-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40967 WINCHESTER RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-296-5286",
"fax_number": "951-296-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.