Active NPI
Jordan Michael Maxwell, DC
- Acupuncturist
- Phoenix, AZ
National Provider Identifier
1245822758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 012285
- Practice address
- 1130 E Missouri Ave Ste 402
Phoenix, AZ 85014-2724 - Phone
- (315) 391-7949
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 012285 | AZ | Primary |
| Acupuncturist | 171100000X | 007444 | NY | |
| Chiropractor | 111N00000X | X01371701 | NY |
Addresses
Primary practice location
1130 E Missouri Ave Ste 402
Phoenix, AZ 85014-2724
Mailing address
4218 Stepping Stone LN
Liverpool, NY 13090-1826
Phone (315) 391-7949
Other practice location 1
205 1st St
Liverpool, NY 13088-5109
Phone (315) 680-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815004317 | NY | Practitioner - Chiropractic | 0143608174 | Practice locations: Liverpool, NY |
| I20260602000031 | AZ | Practitioner - Chiropractic | 0143608174 | Practice locations: Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1130 E Missouri Ave
Suite 402
Phoenix, AZ 85014-2724
Phone (315) 680-4733
500 W Camelback Rd
Unit 518
Phoenix, AZ 85013-0015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X01371701 | NY | MD | Chiropractor |
| 012285 | AZ | MD | Acupuncturist |
| 007444 | NY | MD | Acupuncturist |
| 013717 | NY | MD | Occupational Therapist |
| 36021 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Energy Works Center of Auburn Inc. | Acupuncturist | Past | 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": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1245822758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 STEPPING STONE LN",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901826",
"telephone_number": "315-391-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E MISSOURI AVE STE 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142724",
"telephone_number": "315-391-7949"
}
],
"practiceLocations": [
{
"address_1": "205 1st St",
"address_purpose": "LOCATION",
"city": "Liverpool",
"state": "NY",
"postal_code": "130885109",
"country_code": "US",
"telephone_number": "315-680-4733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-05",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "012285",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007444",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X01371701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.