Organization Active NPI

TT&M Holdings PC

  • Chiropractor
  • Princeton, WV
National Provider Identifier
1689928863
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
850 Issued in WV
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

Updated by the provider on Nov 9, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.