Active NPI
Maxene Canton, D.C.
- Chiropractor
- Dover, DE
National Provider Identifier
1194064162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10712
- Practice address
- 911 S Dupont Hwy Unit 2
Dover, DE 19901-4468 - Phone
- (302) 715-5035
- Fax
- (302) 715-5146
- NPI assigned
- Feb 11, 2013
- 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 | CH10712 | FL | Primary |
Addresses
Primary practice location
911 S Dupont Hwy Unit 2
Dover, DE 19901-4468
Mailing address
8686 Angel LN
Apt 104
Delmar, MD 21875-2634
Phone (302) 715-5035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1194064162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8686 ANGEL LN",
"address_2": "APT 104",
"city": "DELMAR",
"state": "MD",
"postal_code": "218752634",
"telephone_number": "302-715-5035",
"fax_number": "302-715-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S DUPONT HWY UNIT 2",
"city": "DOVER",
"state": "DE",
"postal_code": "199014468",
"telephone_number": "302-715-5035",
"fax_number": "302-715-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "MAXENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-11",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.