Individual provider Active NPI

Maxwell Elliott Muehleip, MS, DC

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1083121859
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5831 Issued in OR
Practice address
9370 SW Greenburg Rd.
Ste 604 - Washington BLDG.
Tigard, OR 97223
Phone
(503) 954-4496
NPI assigned
Jan 3, 2018
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5831 OR Primary
Nutrition Chiropractor 111NN1001X 5831 OR
Nutritionist 133N00000X

Addresses

Primary practice location

9370 SW Greenburg Rd.
Ste 604 - Washington BLDG.
Tigard, OR 97223

Mailing address

7880 SW Skyhar Dr.
Portland, OR 97223
Phone (503) 954-4496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721002902 OR Practitioner - Chiropractic 6901220102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5831ORMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sawubona, LLC Chiropractor CurrentSince Jul 1, 2020 Accepting new patients
Agger Chiropractic Clinic LLC PastSince Mar 27, 2022 Accepting new patients

Locations

1675 SW Marlow Ave
Ste 301
Portland, OR 97225
Phone (503) 469-9818

8375 SW Beaverton Hillsdale Hwy
Ste 100
Portland, OR 97225
Phone (503) 298-4104

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1083121859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 SW SKYHAR DR.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-954-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD.",
            "address_2": "STE 604 - WASHINGTON BLDG.",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-954-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLEIP",
        "first_name": "MAXWELL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "MS, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5831",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "5831",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.