Active NPI
Daniel Davis Maxwell, MD
- Specialist
- Potomac Falls, VA
National Provider Identifier
1073738142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101024028
- Practice address
- 20265 Water Mark PL
Potomac Falls, VA 20165-5134 - Phone
- (703) 404-3729
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101024028 | VA | Primary |
Addresses
Primary practice location
20265 Water Mark PL
Potomac Falls, VA 20165-5134
Mailing address
20265 Water Mark PL
Potomac Falls, VA 20165-5134
Phone (703) 404-3729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Radiologic Professionals, LLC | Current | Accepting new patients |
Locations
306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373
Organizations & group practices 2
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": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073738142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20265 WATER MARK PL",
"city": "POTOMAC FALLS",
"state": "VA",
"postal_code": "201655134",
"telephone_number": "703-404-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20265 WATER MARK PL",
"city": "POTOMAC FALLS",
"state": "VA",
"postal_code": "201655134",
"telephone_number": "703-404-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DANIEL",
"middle_name": "DAVIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101024028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac Falls, VA
- Loudoun Medical Group, PC (Sterling Pediatrics)
- Joan A Macisaac, MA CCC-SLP
- Faiqa Mahmud, M.D.
- Mariah Shojaei DMD, MSC, MSD, PC
- Jene Nicole Martins Richards, PHARMD
- Gayle McCorkle, CRNA
- Betsy Miranda, COTA/L
- Sara Osier Murphy, MSLP
- My Neighbor Pharmacy LLC (My Neighbor Pharmacy)
- Sharmila R Nair, M.D.,FAAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.