Active NPI
Maxwell Elliott Muehleip, MS, DC
- Chiropractor
- Tigard, OR
National Provider Identifier
1083121859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5831
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5831 | OR | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sawubona, LLC | Chiropractor | Current | Accepting new patients |
| Agger Chiropractic Clinic LLC | Past | 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.
-
- Clinic/Center
- Portland, OR
- NPI 1386819977
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.