Philip Cameron Maynard

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3994 Issued in OK

Practice address

8922 S Memorial Dr Ste C1
Tulsa, OK 74133-4343

Phone

(918) 704-3999

NPI assigned

Nov 30, 2010

Last updated

Jun 25, 2024By 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

Other names 1

• Dba-Maynard Family Chiropractic Professional name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maynard Family Chiropractic

  • Chiropractor
  • Tulsa, OK
  • NPI 1053678508
  Medicare reassignment NPD Authorized official
• Maynard Family Chiropractic

  • Chiropractor
  • Tulsa, OK
  • NPI 1518260975
  Authorized official Same address or phone

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1215239066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8922 S MEMORIAL DR STE C1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334343",
            "telephone_number": "918-704-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8922 S MEMORIAL DR STE C1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334343",
            "telephone_number": "918-704-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "PHILIP",
        "middle_name": "CAMERON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN#",
            "identifier": "OKB6037",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DBA-MAYNARD",
            "last_name": "CHIROPRACTIC",
            "middle_name": "FAMILY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Mayfield, BCBA
• Megan L Mayhue, PA-C
• Samantha Rose Mayhugh, PTA
• Maynard Family Chiropractic
• Maynard Family Chiropractic
• Delaney Mayo
• Jennifer Mayo
• Martin Mayo
• Melissa Mayo
• Mays Drug Stores in (Mays)

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.