Individual provider Active NPI

Xavier Eugene Maxstadt, L.AC

  • Acupuncturist
  • Alexandria, VA
National Provider Identifier
1801587522
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121001140 Issued in VA
Practice address
5314 Eisenhower Ave
Alexandria, VA 22304-4818
Phone
(571) 274-6421
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02964 MD
Acupuncturist 171100000X 0121001140 VA Primary

Addresses

Primary practice location

5314 Eisenhower Ave
Alexandria, VA 22304-4818

Mailing address

2001 Columbia Pike Apt 313
Arlington, VA 22204-4523
Phone (571) 274-6421

Other practice location 1

2001 Columbia Pike Apt 313
Arlington, VA 22204-4523
Phone (571) 274-6421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U02964MDMDAcupuncturist
0121001140VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1801587522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COLUMBIA PIKE APT 313",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044523",
            "telephone_number": "571-274-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 EISENHOWER AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044818",
            "telephone_number": "571-274-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Columbia Pike Apt 313",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044523",
            "country_code": "US",
            "telephone_number": "571-274-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXSTADT",
        "first_name": "XAVIER",
        "middle_name": "EUGENE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02964",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.