Individual provider Active NPI

Maxwell Morris Weiss, DC

  • Chiropractor
  • Novi, MI
National Provider Identifier
1063126316
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401381 Issued in MI
Practice address
44170 W 12 Mile Rd Ste 100
Novi, MI 48377-2650
Phone
(248) 624-9393
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401381 MI Primary

Addresses

Primary practice location

44170 W 12 Mile Rd Ste 100
Novi, MI 48377-2650

Mailing address

44170 W 12 Mile Rd Ste 100
Novi, MI 48377-2650
Phone (248) 624-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124003016 MI Practitioner - Chiropractic 1850762139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weiss Chiropractic PlymouthGroup PAC ID 7618349507, 5 clinicians

Practice addresses (Care Compare)

245 N Main St
Plymouth, MI 48170-1238
Phone (248) 624-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401381MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss Chiropractic Life Center PLC Chiropractor CurrentSince Jan 10, 2023 Accepting new patients
Greer Chiropractic Life Center P. L.L.C. Chiropractor CurrentSince Apr 13, 2023 Accepting new patients
Weiss Chiropractic Plymouth Chiropractor CurrentSince Apr 13, 2023 Accepting new patients

Locations

44170 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 624-9393

245 N Main St
Plymouth, MI 48170
Phone (248) 624-9393

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1063126316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772650",
            "telephone_number": "248-624-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772650",
            "telephone_number": "248-624-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MAXWELL",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.