Blaine Maxson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002860A Issued in IN

Practice address

413 W McKinley Ave
Mishawaka, IN 46545-5599

Phone

(574) 256-1008

Fax

(574) 256-9088

NPI assigned

Nov 17, 2015

Sex

Male

Sole proprietor

No

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hofferth Chiropractic Center LLCGroup PAC ID 6709271786, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hofferth Chiropractic Center LLC

  • Chiropractor
  • Mishawaka, IN
  • NPI 1306447313
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1912371766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455599",
            "telephone_number": "574-256-1008",
            "fax_number": "574-256-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455599",
            "telephone_number": "574-256-1008",
            "fax_number": "574-256-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "BLAINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew S Brennan DDS Inc
• Miranda J Matthews, MS
• Anna N Matulewicz, NP
• Heather J Mawson
• Maxim Healthcare Services, Inc.
• Christiane Nwawock Mbianda, M.D.
• Stephanie McAfee, PHARMD, RPH
• Cynthia L McCay, LCSW
• Debra R McClain, M.D.
• Dakota Leigh McClelland

• Chiropractor in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.