Organization Active NPI

Maximum Wellness Chiropractic

  • Chiropractor
  • Wimberley, TX
National Provider Identifier
1083067375
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12002 Issued in TX
Legal business name
MAXIMUM WELLNESS CHIROPRACTIC
Practice address
14500 Ranch Road 12
Ste 4
Wimberley, TX 78676-6218
Phone
(512) 270-8057
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
William Anthony Maxwell, D.C.NPI 1043576028
Title
Chiropractor/Owner
Phone
(512) 270-8057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12002 TX Primary

Addresses

Primary practice location

14500 Ranch Road 12
Ste 4
Wimberley, TX 78676-6218

Mailing address

4701 Monterey Oaks Blvd Apt 914
Austin, TX 78749-0905
Phone (512) 270-8057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210721001486 TX Part B Supplier - Clinic/Group Practice 7911300405 Receives reassigned benefits from 2 practitioners
Practice locations: Wimberley, TX

National Provider Directory

National Provider Directory

Locations

14500 Ranch Road 12
Ste 4
Wimberley, TX 78676
Phone (512) 270-8057

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1083067375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD APT 914",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787490905",
            "telephone_number": "512-270-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 RANCH ROAD 12",
            "address_2": "STE 4",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766218",
            "telephone_number": "512-270-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "512-270-8057",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.