Active NPI
Lucas Maynard, DC
- Chiropractor
- Maumee, OH
National Provider Identifier
1558180489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05318
- Practice address
- 475 W Dussel Dr
Maumee, OH 43537-4210 - Phone
- (419) 556-1069
- NPI assigned
- Oct 8, 2024
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05318 | OH | Primary |
Addresses
Primary practice location
475 W Dussel Dr
Maumee, OH 43537-4210
Mailing address
475 W Dussel Dr
Maumee, OH 43537-4210
Phone (419) 556-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05318 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1558180489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W DUSSEL DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374210",
"telephone_number": "419-556-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W DUSSEL DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374210",
"telephone_number": "419-556-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-08",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.