Individual provider Active NPI

William Anthony Maxwell, D.C.

  • Chiropractor
  • Wimberley, TX
National Provider Identifier
1043576028
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12002 Issued in TX
Practice address
13501 Ranch Road 12
Suite 111
Wimberley, TX 78676-5353
Phone
(512) 270-8057
Fax
(512) 326-1355
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12002 TX Primary

Addresses

Primary practice location

13501 Ranch Road 12
Suite 111
Wimberley, TX 78676-5353

Mailing address

13501 Ranch Road 12
Ste 111
Wimberley, TX 78676-5328
Phone (512) 270-8057

Other names 1

  • Tony Maxwell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000545 TX Practitioner - Chiropractic 1355507252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Wellness ChiropracticGroup PAC ID 7911300405, 2 clinicians

Practice addresses (Care Compare)

180 Joe Wimberley Blvd
Suite 202
Wimberley, TX 78676-5998
Phone (512) 842-3046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12002TXMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1043576028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 RANCH ROAD 12",
            "address_2": "STE 111",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765328",
            "telephone_number": "512-270-8057",
            "fax_number": "512-326-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 RANCH ROAD 12",
            "address_2": "SUITE 111",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765353",
            "telephone_number": "512-270-8057",
            "fax_number": "512-326-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "MAXWELL",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.

Verify at the official NPI Registry.