Individual provider Active NPI

Maxwell E Synsvoll, D.C.

  • Chiropractor
  • Battle Ground, WA
National Provider Identifier
1174539647
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033893 Issued in WA
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

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.