Daphne Maxwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011974 Issued in IL

Practice address

899 S Weber Rd
Ste D
Bolingbrook, IL 60490-5488

Phone

(630) 771-9496

Fax

(630) 771-0361

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18209/brand/1/csg/1/fhir/r4

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.

• Chiro One Wellness Center of Bolingbrook LLC

  • Chiropractor
  • Bolingbrook, IL
  • NPI 1417999095
  Medicare reassignment NPD
• Bagwell Chiropractic PA

  • Chiropractor
  • Huntersville, NC
  • NPI 1033278080
  NPD (past)
• Lifespring Chiropractic

  • Chiropractor
  • Huntersville, NC
  • NPI 1427142959
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1164550414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-320-6400",
            "fax_number": "630-701-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 S WEBER RD",
            "address_2": "STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905488",
            "telephone_number": "630-771-9496",
            "fax_number": "630-771-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DAPHNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3347",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grimwood & Assoc LTD
• Lindsay Elizabeth Maskel, FNP
• Kimberly Lynn Mason, RSA
• Cheryl Mathew, BCBA
• Matr Therapeutics LLC
• Sandra Ann Mazur, APN-CNP
• Becca McCann
• Danika Marie McGandy, M.S., BCBA
• Hajar McHabcheb, DMD
• David Robert McHugh, DPT

• Chiropractor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.