Individual provider Active NPI

Max Avery Cohen, D.C.

  • Chiropractor
  • Wellington, FL
National Provider Identifier
1558656322
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10288 Issued in FL
Practice address
12160 S Shore Blvd
#108
Wellington, FL 33414-6269
Phone
(561) 385-8978
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10288 FL Primary

Addresses

Primary practice location

12160 S Shore Blvd
#108
Wellington, FL 33414-6269

Mailing address

12160 S Shore Blvd
#108
Wellington, FL 33414-6269
Phone (561) 385-8978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130510000186 FL Practitioner - Chiropractic 3476790429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12160 S Shore Blvd
Suite 103
Wellington, FL 33414-6504
Phone (561) 249-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxhealth Chiropractic, LLC Chiropractor CurrentSince Mar 16, 2013 Accepting new patients

Locations

12160 South Shore Blvd
Ste 108
Wellington, FL 33414
Phone (561) 309-4543

12160 South Shore Blvd
Ste 103
West Palm Beach, FL 33414
Phone (561) 249-0373

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1558656322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12160 S SHORE BLVD",
            "address_2": "#108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146269",
            "telephone_number": "561-385-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12160 S SHORE BLVD",
            "address_2": "#108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146269",
            "telephone_number": "561-385-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MAX",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.