Maxwell Lawrence Stephen Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001850 Issued in CT

Practice address

765 Main St
East Hartford, CT 06108-3123

Phone

(860) 904-5324

NPI assigned

Sep 1, 2010

Last updated

Feb 13, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Medicine, LLC.

  • Chiropractor
  • North Haven, CT
  • NPI 1487950390
  Medicare reassignment NPD Authorized official
• I Sile Health Center

  • Chiropractor
  • East Hartford, CT
  • NPI 1568762912
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1790092435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE",
            "address_2": "STE 19",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731708",
            "telephone_number": "203-691-5581",
            "fax_number": "203-691-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083123",
            "telephone_number": "860-904-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MAXWELL",
        "middle_name": "LAWRENCE STEPHEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mintell, MD
• Michael Anthony Miranda Jr., M.D.
• Maliha Misbah
• Kimberly Patterson Mishriky, LCSW
• Andrea Mitchell
• Nazahria Ayanna Mitchell
• Samantha Moberger, PA-C
• Benson Monastersky, D.M.D.
• Ellen E Monforte, APRN, CRNA
• Jennifer Mongillo, CRNA

• Chiropractor in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.