Individual provider Active NPI

Daniel J Maire, D.C.

  • Chiropractor
  • Cibolo, TX
National Provider Identifier
1346354628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9114 Issued in TX
Practice address
750 Schneider Rd
Ste. 170
Cibolo, TX 78108
Phone
(210) 566-7873
Fax
(210) 566-8799
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC9114 TX Primary

Addresses

Primary practice location

750 Schneider Rd
Ste. 170
Cibolo, TX 78108

Mailing address

750 Schneider Rd
Ste. 170
Cibolo, TX 78108
Phone (210) 566-7873

Other identifiers 1

IdentifierTypeStateIssuer
8X1130OtherTXBLUE CROSS ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000595 TX Practitioner - Chiropractic 2860592839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Chiropractic LLCGroup PAC ID 8729449467, 3 clinicians

Practice addresses (Care Compare)

750 Schneider Dr
Suite 170
Cibolo, TX 78108-3360
Phone (210) 566-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC9114TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Health and Wellness, L.L.C. Chiropractor CurrentSince Nov 15, 2006 Accepting new patients
Legacy Chiropractic LLC Chiropractor CurrentSince Oct 31, 2023 Accepting new patients

Locations

750 Schneider Dr
Ste 170
Cibolo, TX 78108
Phone (210) 566-7873

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346354628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SCHNEIDER RD",
            "address_2": "STE. 170",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-566-7873",
            "fax_number": "210-566-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SCHNEIDER RD",
            "address_2": "STE. 170",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-566-7873",
            "fax_number": "210-566-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "8X1130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.