Maxim Chiropractic and Rehabilitation Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAXIM CHIROPRACTIC AND REHABILITATION CENTER PLLC

Practice address

1840 E Warner Rd
Suite 122
Tempe, AZ 85284-3437

Phone

(480) 755-1718

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

Management

Phone

(480) 222-5170

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Fossum

  • Rehabilitation Chiropractor
  • Mesa, AZ
  • NPI 1790991958
  NPD (past)
• Damian Edward Smith, D.C.

  • Chiropractor
  • Honolulu, HI
  • NPI 1689723157
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1053465807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 116",
            "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": "1840 E WARNER RD",
            "address_2": "SUITE 122",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843437",
            "telephone_number": "480-755-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM CHIROPRACTIC AND REHABILITATION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "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": "AZ0936660",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0931560",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kianna Mattie, LMSW
• Stephanie Marie Mattingley
• Lisa M Maturo, ND
• Anne Marie Mauricio, PH.D.
• Max Care
• Maximum Family Care LLC
• Allen Maxwell, ND
• Serenity Maxwell
• Stephen A Maxwell, AUD
• Bobby May

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.