Organization Active NPI

Essential Chiropractic PA

Doing business as MaxLiving Chriopractic

  • Chiropractor
  • Naples, FL
National Provider Identifier
1396263331
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6159 Issued in FL
Legal business name
ESSENTIAL CHIROPRACTIC PA
Doing business as
MaxLiving Chriopractic
Practice address
6308 Trail Blvd
Naples, FL 34108-2836
Phone
(239) 530-8205
NPI assigned
Aug 30, 2017
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Maryella K Loman, DC, AO PROVIDERNPI 1790878999
Title
Doctor
Phone
(239) 300-0885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6159 FL Primary

Addresses

Primary practice location

6308 Trail Blvd
Naples, FL 34108-2836

Mailing address

6308 Trail Blvd
Naples, FL 34108-2836
Phone (239) 300-0885

Other names 1

  • MaxLiving Chriopractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171202000305 FL Part B Supplier - Clinic/Group Practice 2466719224 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

6308 Trail Blvd
Naples, FL 34108
Phone (239) 300-0885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1396263331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 TRAIL BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082836",
            "telephone_number": "239-300-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 TRAIL BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082836",
            "telephone_number": "239-530-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "LOMAN",
        "authorized_official_first_name": "MARYELLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "239-300-0885",
        "authorized_official_credential": "DC, AO PROVIDER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxLiving Chriopractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.