Active NPI
TT&M Holdings PC
- Chiropractor
- Princeton, WV
National Provider Identifier
1689928863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 850
- Legal business name
- TT&M HOLDINGS PC
- Practice address
- 1512 N Walker St
Princeton, WV 24740-2639 - Phone
- (304) 487-8985
- Fax
- (304) 425-1680
- NPI assigned
- Nov 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randy B Maxwell, D.C.
- Title
- Owner/Doctor
- Phone
- (304) 487-8985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 850 | WV | Primary |
Addresses
Primary practice location
1512 N Walker St
Princeton, WV 24740-2639
Mailing address
1512 N Walker St
Princeton, WV 24740-2639
Phone (304) 487-8985
Other names 1
- ALLIANT WELLNESS & CHIROPRACTIC
National Provider Directory
National Provider DirectoryLocations
902 Stafford Dr
Princeton, WV 24740
Phone (304) 287-8985
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Princeton, WV
- NPI 1932488178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1689928863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 N WALKER ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402639",
"telephone_number": "304-487-8985",
"fax_number": "304-425-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 N WALKER ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402639",
"telephone_number": "304-487-8985",
"fax_number": "304-425-1680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TT&M HOLDINGS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "304-487-8985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALLIANT WELLNESS & CHIROPRACTIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.