Organization Active NPI

Maximize Wellness Holdings, LLC

Doing business as The Wellness Way-Columbia

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1699942862
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAXIMIZE WELLNESS HOLDINGS, LLC
Doing business as
The Wellness Way-Columbia
Practice address
2401 Bernadette Dr Ste 209
Columbia, MO 65203-4672
Phone
(573) 443-6828
Fax
(573) 397-6061
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Jeremy D. Maxwell, D.C.
Title
Owner
Phone
(573) 443-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2401 Bernadette Dr Ste 209
Columbia, MO 65203-4672

Mailing address

2401 Bernadette Dr Ste 209
Columbia, MO 65203-4672
Phone (573) 443-6828

Other names 1

  • The Wellness Way-Columbia Doing business as

National Provider Directory

National Provider Directory

Locations

2401 Bernadette Dr
Ste 209
Columbia, MO 65203
Phone (573) 443-6828

2401 Bernadette Dr
Ste 206
Columbia, MO 65203
Phone (573) 355-7118

209 N Church St
#3
Fayette, MO 65248
Phone (660) 248-2482

209 N Church St
Ste 3
Fayette, MO 65248
Phone (660) 248-2482

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1699942862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BERNADETTE DR STE 209",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034672",
            "telephone_number": "573-443-6828",
            "fax_number": "573-397-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BERNADETTE DR STE 209",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034672",
            "telephone_number": "573-443-6828",
            "fax_number": "573-397-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMIZE WELLNESS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-443-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Way-Columbia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wellness Way-Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.