Active NPI
Maynard Chiropractic & Wellness Center Inc
- Sports Physician Chiropractor
- Scottsdale, AZ
National Provider Identifier
1831448869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3205
- Legal business name
- MAYNARD CHIROPRACTIC & WELLNESS CENTER INC
- Practice address
- 1920 North Scottsdale Rd
Scottsdale, AZ 85257 - Phone
- (480) 994-0072
- Fax
- (480) 994-8527
- NPI assigned
- Sep 6, 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
- Curtis P Maynard, D.C.
- Title
- Owner
- Phone
- (480) 994-0072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3205 | AZ | Primary |
Addresses
Primary practice location
1920 North Scottsdale Rd
Scottsdale, AZ 85257
Mailing address
1920 North Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 994-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130102000407 | AZ | Part B Supplier - Clinic/Group Practice | 4981857760 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352764800000",
"number": "1831448869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NORTH SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85257",
"telephone_number": "480-994-0072",
"fax_number": "480-994-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 NORTH SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85257",
"telephone_number": "480-994-0072",
"fax_number": "480-994-8527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYNARD CHIROPRACTIC & WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-11-13",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-994-0072",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "3205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.