Maxwell Barrett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010563 Issued in IL

Practice address

633 Skokie Blvd
Suite #270
Northbrook, IL 60062-2858

Phone

(847) 513-6996

Fax

(847) 513-6998

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Shore Physical Wellness LTD.

  • Chiropractor
  • Northbrook, IL
  • NPI 1265603062
  Medicare reassignment NPD Authorized official
• Chiropractic Centre of Highland Park, Inc

  • Chiropractor
  • Highland Park, IL
  • NPI 1629155114
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1669557542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "SUITE #270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-513-6996",
            "fax_number": "847-513-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "SUITE #270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-513-6996",
            "fax_number": "847-513-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "K51006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Anderson Barnds, MA, LCPC, BC-DMT
• Nicholas Barnhill, LPC
• Baron Counseling and Consulting, Inc.
• Amanda Baroud
• Joseph Barr, EDD
• Scott B. Barrett, DMD
• Paola Barron Lara
• Makiya Barrow
• Barry M Gershuny MD
• Bailey Barry

• Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.