Maxlife Health & Laser Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-4367 Issued in KS

Legal business name

MAXLIFE HEALTH & LASER CENTER, PA

Practice address

11010 Quivira Rd
Overland Park, KS 66210-1239

Phone

(913) 327-7246

Fax

(913) 327-7248

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Darin Upchurch, D.C.

Title

Owner

Phone

(913) 327-7246

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1093942583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101239",
            "telephone_number": "913-327-7246",
            "fax_number": "913-327-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101239",
            "telephone_number": "913-327-7246",
            "fax_number": "913-327-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXLIFE HEALTH & LASER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-327-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1093931743",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005648554",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39757011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold Mauldin III
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• Mackinzie Maxson, A.R.N.P.
• Maxwell Psychological Services, L.L.C.
• Robert Arnold Maxwell, M.D.
• Joshua Michael May, DO
• Kylee May, DPT, PT

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.