Individual provider Active NPI

Russell Stanley Maxwell, CHIROPRACTOR DC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1326101890
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002961 Issued in WA
Practice address
600 Birchwood Ave 101
Bellingham, WA 98225
Phone
(360) 647-4438
Fax
(360) 527-8144
NPI assigned
Dec 18, 2006
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002961 WA Primary

Addresses

Primary practice location

600 Birchwood Ave 101
Bellingham, WA 98225

Mailing address

805 W Orchard Dr
Ste 1
Bellingham, WA 98225-1759
Phone (360) 647-4438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000595 WA Practitioner - Chiropractic 4688562853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 W Orchard Dr
Suite 1
Bellingham, WA 98225-1759
Phone (360) 647-4438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Maxwell DC PS CurrentSince Aug 14, 2012 Accepting new patients

Locations

600 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 647-4438

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1326101890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W ORCHARD DR",
            "address_2": "STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251759",
            "telephone_number": "360-647-4438",
            "fax_number": "360-527-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BIRCHWOOD AVE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-4438",
            "fax_number": "360-527-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "RUSSELL",
        "middle_name": "STANLEY",
        "credential": "CHIROPRACTOR DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.