Individual provider Active NPI

Douglas Paul Maxeiner, D.C

  • Chiropractor
  • New Albany, OH
National Provider Identifier
1215062757
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4266 Issued in OH
Practice address
5791 Zarley St Ste B
New Albany, OH 43054-7091
Phone
(614) 600-2225
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2008006556 MO
Chiropractor 111N00000X 4266 OH Primary

Addresses

Primary practice location

5791 Zarley St Ste B
New Albany, OH 43054-7091

Mailing address

7259 Talanth PL
New Albany, OH 43054-7001
Phone (614) 660-2225

Other practice location 1

167 S State St
Suite 190
Westerville, OH 43081-2265
Phone (614) 660-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000781 OH Practitioner - Chiropractic 2769639640 Practice locations: New Albany, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7259 Talanth PL
New Albany, OH 43054-7001
Phone (614) 600-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4266OHMDChiropractor
2008006556MOMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maxeiner Chiropractic PastSince Aug 27, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1215062757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 TALANTH PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547001",
            "telephone_number": "614-660-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 ZARLEY ST STE B",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547091",
            "telephone_number": "614-600-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 S State St",
            "address_2": "Suite 190",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812265",
            "country_code": "US",
            "telephone_number": "614-660-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXEINER",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2008006556",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.