Individual provider Active NPI

Duke D Maxwell, D.C.

  • Chiropractor
  • Vista, CA
National Provider Identifier
1316092711
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22407 Issued in CA
Practice address
510 Hacienda Dr
Suite 107
Vista, CA 92081-6637
Phone
(760) 630-8060
Fax
(760) 630-7715
NPI assigned
Jan 24, 2007
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22407 CA Primary

Addresses

Primary practice location

510 Hacienda Dr
Suite 107
Vista, CA 92081-6637

Mailing address

510 Hacienda Dr Ste 107
Vista, CA 92081-6639
Phone (760) 630-8060

Other names 1

  • Dr. Duke D Maxwell Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000622 CA Practitioner - Chiropractic 7517998040 Practice locations: Fallbrook, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3429 Avocado Vista LN
Fallbrook, CA 92028-7869
Phone (760) 917-3989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22407CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas L. Reich Chiropractic Wellness Center, Inc. Chiropractor 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, 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1316092711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816639",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR",
            "address_2": "SUITE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816637",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DUKE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUKE",
            "last_name": "MAXWELL",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.