Individual provider Active NPI

Maxwell Paetzhold, DC

  • Chiropractor
  • West Linn, OR
National Provider Identifier
1598293359
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5820 Issued in OR
Practice address
1832 Willamette Falls Dr
West Linn, OR 97068-4550
Phone
(503) 557-8444
NPI assigned
May 24, 2017
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5820 OR Primary

Addresses

Primary practice location

1832 Willamette Falls Dr
West Linn, OR 97068-4550

Mailing address

1832 Willamette Falls Dr
West Linn, OR 97068-4550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705003369 OR Practitioner - Chiropractic 7416226527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Maximum Health Clinic II LLCGroup PAC ID 9234500059, 2 clinicians

Practice addresses (Care Compare)

1832 Willamette Falls Dr
West Linn, OR 97068-4550
Phone (503) 557-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Health Clinic II LLC Chiropractor CurrentSince Oct 6, 2022 Accepting new patients

Locations

1832 Willamette Falls Dr
West Linn, OR 97068
Phone (503) 557-8444

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, 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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1598293359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684550",
            "telephone_number": "503-557-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAETZHOLD",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.