Individual provider Active NPI

Richard J Maynard Jr., DC

  • Chiropractor
  • Lancaster, OH
National Provider Identifier
1477622942
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OH3214 Issued in OH
Practice address
784 E Main St
Lancaster, OH 43130-3983
Phone
(740) 687-0100
Fax
(740) 687-0145
NPI assigned
Nov 7, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OH3214 OH Primary
Rehabilitation Chiropractor 111NR0400X OH3214 OH

Addresses

Primary practice location

784 E Main St
Lancaster, OH 43130-3983

Mailing address

784 E Main St
Lancaster, OH 43130-3983
Phone (740) 687-0100

Other identifiers 3

IdentifierTypeStateIssuer
P00465005OtherOHRAILROAD MEDICARE
31-0991279OtherOHTAX ID
2283603MedicaidOH

Other names 1

  • Dr. Richard J Maynard Jr. Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000838 OH Practitioner - Chiropractic 7719160977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N8 Family Chiropractic, Inc.Group PAC ID 2668443524, 6 clinicians

Practice addresses (Care Compare)

340 W Fair Ave
Lancaster, OH 43130-1863
Phone (740) 689-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH3214OHMDRehabilitation Chiropractor
3214OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Occupational Health Clinics, LLC CurrentSince Jan 8, 2011 Accepting new patients
N8 Family Chiropractic, Inc. Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
N8 Family Chiropractic of Lancaster Main Street LLC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
N8 Family Chiropractic of Canal Winchester Chiropractor PastSince Feb 1, 2022 Accepting new patients

Locations

6302 Gender Rd
Canal Winchester, OH 43110
Phone (614) 321-4764

1728 E Main St
Lancaster, OH 43130
Phone (740) 785-5036

340 W Fair Ave
Lancaster, OH 43130
Phone (740) 689-0199

1835 E High St
Ste 2
Springfield, OH 45505
Phone (937) 322-8977

Organizations & group practices 4

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1477622942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303983",
            "telephone_number": "740-687-0100",
            "fax_number": "740-687-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303983",
            "telephone_number": "740-687-0100",
            "fax_number": "740-687-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH3214",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "OH3214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00465005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "31-0991279",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "MAYNARD",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.