Maxwell Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34961 Issued in CA

Practice address

884 Portola Rd Ste A5
Portola Valley, CA 94028-7265

Phone

(650) 851-4860

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoffman and Moore Chiropractic

  • Chiropractor
  • Portola Valley, CA
  • NPI 1104046903
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1194325365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 PORTOLA RD STE A5",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287265",
            "telephone_number": "650-851-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 PORTOLA RD STE A5",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287265",
            "telephone_number": "650-851-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "34961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Mayer, PHD
• Carolyn A. McClain, M.D.
• William Meffert, MD
• Karen Marie Mittelstadt, LAC
• John Kurt Moore, D.C.
• Emma C Morton-Bours, M.D.
• Jane Abeel Morton, M.D.
• Omondi Nyongo, MD
• Gregory Ohanessian, PT, DPT
• Katherine Ohanlan, M.D.

• Chiropractor in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.