MAXWELL JAMES DIERKS MD
NPI 1356145197
Student in an Organized Health Care Education/Training Program in Charleston, WV
About Maxwell James Dierks Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL JAMES DIERKS MD (NPI 1356145197) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell James Dierks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
CHARLESTON, WV 25302
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maxwell Dierks's NPI number?
The NPI number for Maxwell Dierks is 1356145197. It was assigned to this individual provider in the NPPES registry on April 2, 2025.
Where is Maxwell Dierks located?
Maxwell Dierks practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 388-2427.
What is Maxwell Dierks's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Maxwell Dierks enrolled in Medicare?
Yes. Maxwell Dierks is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Maxwell Dierks was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maxwell James Dierks, MD · NPI 1356145197
Student in an Organized Health Care Education/Training Program provider in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1356145197 (Entity type: Individual)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 PENNSYLVANIA AVE, Charleston, WV 25302-3351
- **Phone:** (304) 388-2427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356145197) · Data from the CMS NPPES public registry.