Maverick DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034829 Issued in WA

Legal business name

MAVERICK DC PLLC

Practice address

1720 S 72ND St Ste 201
Tacoma, WA 98408-1299

Phone

(253) 471-1289

Fax

(253) 471-1290

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Leone, D.C.NPI 1740478031

Title

Owner/Chiropractor

Phone

(253) 471-1289

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Vincent Michael Leone, D.C.

  • Chiropractor
  • Tacoma, WA
  • NPI 1740478031
  Authorized official Same address or phone

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1497083497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081299",
            "telephone_number": "253-471-1289",
            "fax_number": "253-471-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081299",
            "telephone_number": "253-471-1289",
            "fax_number": "253-471-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "253-471-1289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Patrick O'Connor
• Lindsay Maurin, PA-C
• Anne Mauro, LMFT, DHS, CST
• Deborah J. Mauro, CRNA
• Karol Kay Mauss, LMHC
• Stephanie Mavin, DNP, ARNP, CPNP-PC
• Colleen G Mawby, PA-C
• Shamsa Z. Mawjee, M.D.
• Andrew Maxam, DO
• Leilani Ann Maxera, LCSW

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.