Joshua Brent Maxwell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1153855338905 Issued in UT

Practice address

8822 S Redwood Rd Ste C211
West Jordan, UT 84088-9340

Phone

(801) 563-1975

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Biomechanics Institute PLLC

  • Podiatrist
  • West Jordan, UT
  • NPI 1548545338
  NPD (past)
• Southwest Children'S Clinic

  • Specialist
  • West Jordan, UT
  • NPI 1144345737
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1124548805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 S REDWOOD RD STE C211",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889340",
            "telephone_number": "801-563-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 S REDWOOD RD STE C211",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889340",
            "telephone_number": "801-563-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JOSHUA",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "1153855338905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Mauga
• Trevor Mauss
• Kayla Maxfield, LCSW
• Maximum Potential
• Brin Maxwell
• Tess Maxwell
• Mark May, MD
• Robin Mayetani, RPH
• Kendra Mayfield
• McKenze Maynard

• Pediatrics Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.