Jamey Ray Maxwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10696 Issued in TX

Practice address

619 Deahl St
Borger, TX 79007-3519

Phone

(806) 273-2415

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maxwell Chiropractic Services, P.a.

  dba Revelations Chiropractic

  • Chiropractor
  • Borger, TX
  • NPI 1669660718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1396933438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DEAHL ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790073519",
            "telephone_number": "806-273-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DEAHL ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790073519",
            "telephone_number": "806-273-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JAMEY",
        "middle_name": "RAY",
        "name_prefix": "Prof.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Sharron Lindsey, FAMILY NURSE PRACTIT
• Wallace Mann, MD
• Elizabeth Ann Martin
• Vincent A Martinez, DDS
• Maxwell Chiropractic Services, P.a. (Revelations Chiropractic)
• Vicente F Maza, MD
• Holly Ann McKee
• Mona Agarwal Dentistry PLLC (Borger Smiles)
• Jennifer Renae Moore
• William Ray Myers II, P.T.

• Chiropractor in Borger, TX
• Providers in Borger, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.