Maxancillary, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MAXANCILLARY, LLC

Practice address

596 W 750 S # 310-F
Bountiful, UT 84010-7268

Phone

(801) 703-3990

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Steve Adamson

Title

Manager

Phone

(801) 703-3990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1609443183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 W 750 S # 310-F",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107268",
            "telephone_number": "801-703-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 W 750 S # 310-F",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107268",
            "telephone_number": "801-703-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXANCILLARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-703-3990"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Mattern
• Matthew S. Brinkerhoff, P.C.
• Landon Matthews, DMD
• Craig J. Mattinson, DDS
• Michael Steven Maudsley, PT
• Madeline Abigail Maxwell
• Maya Ostler
• Rachel McAdams
• Hannah McBride
• Jack Marriott McCann

• Customized Equipment (DME) in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.