Alan Emery Maynard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006933 Issued in MI

Practice address

2934 Niles Ave
Saint Joseph, MI 49085-2418

Phone

(269) 983-2292

Fax

(269) 983-6155

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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.

• Maynard Chiropractic PLLC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1366706004
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619035474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852418",
            "telephone_number": "269-983-2292",
            "fax_number": "269-983-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852418",
            "telephone_number": "269-983-2292",
            "fax_number": "269-983-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "ALAN",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382877133",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "OA150910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Lee Mattson, PHARMD
• Kerianah Mattson
• Jacob Mavis, DC
• Marc Karl Mavis, DC
• Maynard Chiropractic PLLC
• Renita Rae Mayo-Swanigan
• Linda Marie McBryde, M.D.
• Carri Dawn McCarthy, NP-C
• Joseph Murray McCarthy, D.O.
• Patricia M McCarthy, FNP

• All providers in Saint Joseph, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.