Maxwell Chiropractic Services, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10696 Issued in TX

Legal business name

MAXWELL CHIROPRACTIC SERVICES, P.A.

Doing business as

Revelations Chiropractic

Practice address

619 Deahl St
Borger, TX 79007-3519

Phone

(806) 273-2415

Fax

(806) 273-2715

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamey Ray Maxwell, D.C.NPI 1396933438

Title

President/Chiropractor

Phone

(806) 273-2415

Specialties & licenses 1

Addresses

Other names 1

• Revelations Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamey Ray Maxwell, D.C.

  • Chiropractor
  • Borger, TX
  • NPI 1396933438
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1669660718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DEAHL ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790073519",
            "telephone_number": "806-273-2415",
            "fax_number": "806-273-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DEAHL ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790073519",
            "telephone_number": "806-273-2415",
            "fax_number": "806-273-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL CHIROPRACTIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JAMEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "806-273-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revelations Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty County Hospital District No. 1 (Caprock Nursing & Rehabilitation)
• Leslie Sharron Lindsey, FAMILY NURSE PRACTIT
• Wallace Mann, MD
• Elizabeth Ann Martin
• Vincent A Martinez, DDS
• Jamey Ray Maxwell, D.C.
• Vicente F Maza, MD
• Holly Ann McKee
• Mona Agarwal Dentistry PLLC (Borger Smiles)
• Jennifer Renae Moore

• Chiropractor in Borger, TX
• Providers in Borger, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.