Kevin Maggs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001523 Issued in VA

Practice address

7400 Heritage Village PLZ
Suite 101
Gainesville, VA 20155-3308

Phone

(703) 753-5599

Fax

(703) 753-7599

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1134214034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4505",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953701505",
            "telephone_number": "703-618-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553308",
            "telephone_number": "703-753-5599",
            "fax_number": "703-753-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VV3096A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Lwanyaga, AGPCNP
• Susanne Blanchette Mackie-Lee, MD MPH
• Karen Maclean
• Stephanie Maddox, M.S., BCBA
• Kurt Laurence Maggio, M.D.
• Mackenzie M Maison, PT DPT
• Issa Malador, RN
• Amanda Lynn Malgieri, PA-C
• Samantha Mallek
• Esther Mandelheim

• Chiropractor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.