Individual provider Active NPI

Christopher M Maylor, D.C.

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1649511593
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10390 Issued in FL
Practice address
4300 N University Dr Ste B104
Sunrise, FL 33351-6243
Phone
(954) 257-6571
Fax
(954) 252-2497
NPI assigned
Mar 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10390 FL Primary

Addresses

Primary practice location

4300 N University Dr Ste B104
Sunrise, FL 33351-6243

Mailing address

4300 N University Dr Ste B104
Sunrise, FL 33351-6243
Phone (954) 636-8414

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10390FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Chiropractic Inc Chiropractor CurrentSince Oct 4, 2020 Accepting new patients
Fidel S. Goldson, DC PA Past Accepting new patients

Locations

4300 N University Dr
Ste B104
Lauderhill, FL 33351
Phone (954) 257-6571

Organizations & group practices 2

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1649511593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE B104",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-636-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE B104",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-257-6571",
            "fax_number": "954-252-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.