Individual provider Active NPI

Maya Marie Gonzales, D.C.

  • Chiropractor
  • Evergreen, CO
National Provider Identifier
1225255219
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5984 Issued in CO
Practice address
3042 Evergreen Pkwy Ste 100
Evergreen, CO 80439-7992
Phone
(303) 670-8902
NPI assigned
Apr 19, 2007
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5984 CO Primary

Addresses

Primary practice location

3042 Evergreen Pkwy Ste 100
Evergreen, CO 80439-7992

Mailing address

3042 Evergreen Pkwy Ste 100
Evergreen, CO 80439-7992
Phone (303) 670-8902

Other names 1

  • Dr. Maya Marie Dokson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001314 CO Practitioner - ChiropracticPractitioner - Sports Medicine 1850464256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Western States College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3042 Evergreen Pkwy
Suite 100
Evergreen, CO 80439-7992
Phone (303) 670-8902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5984COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Spine and Sports Medicine LLC Chiropractor CurrentSince Jan 27, 2014 Accepting new patients
Mountain View Chirorpactic PLLC Chiropractor PastSince Feb 19, 2023 Accepting new patients
Amplified Performance LLC Chiropractor Past Accepting new patients

Locations

1193 Bergen Pkwy
Ste F
Evergreen, CO 80439
Phone (303) 670-8902

3042 Evergreen Pkwy
Ste 100
Evergreen, CO 80439
Phone (303) 670-8902

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1225255219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 EVERGREEN PKWY STE 100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397992",
            "telephone_number": "303-670-8902",
            "fax_number": "303-670-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 EVERGREEN PKWY STE 100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397992",
            "telephone_number": "303-670-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MAYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "DOKSON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.