Active NPI
Derek Kyle Maxson, D.C.
- Chiropractor
- Sugar Land, TX
National Provider Identifier
1891885711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10038
- Practice address
- 9907 S Highway 6
Suite 360
Sugar Land, TX 77498-4995 - Phone
- (832) 328-0303
- Fax
- (832) 328-0404
- NPI assigned
- Oct 13, 2006
- Last updated
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10038 | TX | Primary |
Addresses
Primary practice location
9907 S Highway 6
Suite 360
Sugar Land, TX 77498-4995
Mailing address
9907 S Highway 6 Ste 360
Sugar Land, TX 77498-4997
Phone (832) 328-0303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612980 | Other | TX | MEDICARE PTAN |
| 608318 | Other | TX | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10038 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derek K Maxson | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sugar Land, TX
- NPI 1992914287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1891885711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9907 S HIGHWAY 6 STE 360",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774984997",
"telephone_number": "832-328-0303",
"fax_number": "832-328-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9907 S HIGHWAY 6",
"address_2": "SUITE 360",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774984995",
"telephone_number": "832-328-0303",
"fax_number": "832-328-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXSON",
"first_name": "DEREK",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "612980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "608318",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Mauricio a Reinoso (Southwest Pulmonary and Sleep Disorders)
- Mauricio a Reinoso MD PA (Southwest Pulmonary and Sleep Disorders)
- Timothy Mark Mavergeorge, MA, LPC, LMFT, LCDC
- Sarah Mawa, LCSW
- Max DME Supply LLC
- Carlin Maxwell
- May Healthcare Services Inc. (May Behavioral Center)
- Ashley Nicole May, FNP-C
- Tahir M Maya, MD
- Wesley A Mayer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.