MAXIM CHIROPRACTIC AND REHABILITATION CENTER PLLC (NPI# 1053465807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053465807 |
| Entity Type | Organization |
| Organization Name | MAXIM CHIROPRACTIC AND REHABILITATION CENTER PLLC |
| Practice Address |
1840 E Warner Rd Suite 122 Tempe AZ 85284-3437 |
| Mailing Address |
1830 S Alma School Rd Suite 116 Mesa AZ 85210-3056 |
| Practice Telephone | 4807551718 |
| Mailing Fax Number | 4802225163 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | JUSTIN FOSSUM (MANAGEMENT) |
| Authorized Official Telephone | 4802225170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0936660 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0931560 | 01 |
| Street Address |
1840 E WARNER RD SUITE 122 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199592 | Arizona Medical and Sports Rehab LLC | General Practice | 1840 E Warner Rd, Suite 120, Tempe, AZ 85284-3437 | 2016-12-28 |
| 1144670118 | Physician's Choice Massage, LLC | Massage Therapist | 1840 E Warner Rd, Suite 101, Tempe, AZ 85284-3437 | 2016-06-21 |
| 1952795981 | Joshua Adams | Chiropractor | 1840 E Warner Rd, 124, Tempe, AZ 85284-3437 | 2015-03-27 |
| 1780007492 | Scott K. Lee, D.d.s., P.C. | Dentist | 1840 E Warner Rd, Suite 117, Tempe, AZ 85284-3437 | 2014-01-31 |
| 1356667364 | Devena D Riedl | Massage Therapist | 1840 E Warner Rd, Suite 128, Tempe, AZ 85284-3437 | 2010-04-15 |
| 1568611473 | Catherine H. Cho, Dds, PC | Dentist | 1840 E Warner Rd, Ste 117, Tempe, AZ 85284-3437 | 2008-09-16 |
| 1760506471 | Peter Grant Churgin | Family Medicine | 1840 E Warner Rd, Suite A105 - 158, Tempe, AZ 85284-3437 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260436 | Chiropure Spine & Injury | Chiropractor | 950 E Baseline Rd Ste 104, Tempe, AZ 85283-1689 | 2020-09-16 |
| 1194351379 | Sport and Spine Chiropractic Pllc | Chiropractor | 2155 E University Dr Ste 111, Tempe, AZ 85281-4685 | 2020-03-19 |
| 1548802333 | Robert Dylan Hernandez | Chiropractor | 4435 S Rural Rd Ste 4, Tempe, AZ 85282-7059 | 2019-10-13 |
| 1275184079 | John Richard Mcneely | Chiropractor | 9855 S Priest Dr Ste 101, Tempe, AZ 85284-3605 | 2019-09-23 |
| 1063073120 | Dr Ryan Crandall Dc, Pllc | Chiropractor | 2465 W 12th St Ste 1, Tempe, AZ 85281-6935 | 2019-06-27 |
| 1710459664 | Az Neuromuscular Therapy, LLC | Chiropractor | 3231 S Country Club Way Ste 108, Tempe, AZ 85282-4053 | 2018-12-17 |
| 1437665346 | Reed Chiropractic, Inc. | Chiropractor | 250 W Baseline Rd Ste 107, Tempe, AZ 85283-1262 | 2017-12-15 |
| 1982115036 | Keith W Davis | Chiropractor | 815 E Baseline Rd Ste 106, Tempe, AZ 85283-1572 | 2017-10-17 |
| 1649789702 | Powers On Healthcare LLC | Chiropractor | 1301 E University Dr Ste 117, Tempe, AZ 85281-8424 | 2017-09-21 |
| 1295189983 | Infinite Potential Chiropractic, LLC | Chiropractor | 1741 E Divot Dr, Tempe, AZ 85283-5131 | 2016-04-19 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.