Individual provider Active NPI

Jordan Michael Maxwell, DC

  • Acupuncturist
  • Phoenix, AZ
National Provider Identifier
1245822758
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
012285 Issued in AZ
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

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
X01371701NYMDChiropractor
012285AZMDAcupuncturist
007444NYMDAcupuncturist
013717NYMDOccupational Therapist
36021CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.