Active NPI
Maxwell E Synsvoll, D.C.
- Chiropractor
- Battle Ground, WA
National Provider Identifier
1174539647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033893
- Practice address
- 1808 SW 9TH Ave
Suite110
Battle Ground, WA 98604-3284 - Phone
- (360) 687-6307
- Fax
- (360) 687-6309
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033893 | WA | Primary |
Addresses
Primary practice location
1808 SW 9TH Ave
Suite110
Battle Ground, WA 98604-3284
Mailing address
1808 SW 9TH Ave. Suite 110
Battle Ground, WA 98604-9141
Phone (360) 687-6307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090605000150 | WA | Practitioner - Chiropractic | 4789734187 | Practice locations: Battle Ground, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1808 SW 9TH Ave
Suite110
Battle Ground, WA 98604-3284
1808 Sw9Th Ave
Suite 110
Battle Ground, WA 98604-3284
Phone (360) 687-6307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1174539647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SW 9TH AVE. SUITE 110",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049141",
"telephone_number": "360-687-6307",
"fax_number": "360-687-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SW 9TH AVE",
"address_2": "SUITE110",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986043284",
"telephone_number": "360-687-6307",
"fax_number": "360-687-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYNSVOLL",
"first_name": "MAXWELL",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.