Individual provider Active NPI

Maximilian Bicoff, DC

  • Chiropractor
  • Oak Harbor, WA
National Provider Identifier
1366831257
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60517754 Issued in WA
Practice address
1121 SE Dock St
Oak Harbor, WA 98277-4067
Phone
(360) 675-1066
NPI assigned
Jan 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60517754 WA Primary

Addresses

Primary practice location

1121 SE Dock St
Oak Harbor, WA 98277-4067

Mailing address

32650 Sr 20Ste D101
Oak Harbor, WA 98277
Phone (425) 229-7232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117001930 WA Practitioner - Chiropractic 7719223312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1121 SE Dock St
Oak Harbor, WA 98277-4067

32650 Sr
20 Suite D101
Oak Harbor, WA 98277
Phone (360) 675-1066

32650 Sr 20
D101
Oak Harbor, WA 98277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midway Healthcare Therapeutics LLC Chiropractor Current Accepting new patients
Midway Healthcare Therapeutics LLC Chiropractor CurrentSince Apr 8, 2020 Accepting new patients
Bayshore Chiro PC Chiropractor CurrentSince Dec 18, 2023 Accepting new patients
Functional Health Consulting, LLC Chiropractor Past Accepting new patients
Wheeler Chiropractic, P.S. Chiropractor Past Accepting new patients

Locations

23100 Pacific Hwy S
Ste 201
Des Moines, WA 98198
Phone (206) 824-9500

32650 State Route 20
Ste D101
Oak Harbor, WA 98277
Phone (360) 675-1066

1121 SE Dock St
Oak Harbor, WA 98277
Phone (360) 675-1066

14410 SE Petrovitsky Rd
Ste 109
Renton, WA 98058
Phone (425) 226-0327

Organizations & group practices 5

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1366831257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32650 SR 20STE D101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "425-229-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 SE DOCK ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774067",
            "telephone_number": "360-675-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICOFF",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60517754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.