MAYNARD CHIROPRACTIC PLLC
NPI 1366706004
Chiropractor in Saint Joseph, MI
About Maynard Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYNARD CHIROPRACTIC PLLC (NPI 1366706004) is a healthcare organization registered as a chiropractor in Saint Joseph, Michigan and active in the NPI registry since June 2012. The organization lists Alan Emery Maynard, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maynard Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maynard Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maynard Chiropractic PLLC's NPI number?
The NPI number for Maynard Chiropractic PLLC is 1366706004. It was assigned to this organization in the NPPES registry on June 27, 2012.
Where is Maynard Chiropractic PLLC located?
Maynard Chiropractic PLLC is located at 2934 Niles Ave, Saint Joseph, MI 49085. The listed phone number is (269) 983-2292.
What is Maynard Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Maynard Chiropractic PLLC enrolled in Medicare?
Yes. Maynard Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maynard Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Maynard Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maynard Chiropractic PLLC was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Maynard Chiropractic Pllc · NPI 1366706004
Chiropractor organization in Saint Joseph, Michigan. Organization record, active in the CMS NPPES registry since June 27, 2012.
## Identity
- **NPI:** 1366706004 (Entity type: Organization)
- **Enumerated:** June 27, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Alan Maynard, SOLE MEMBER
## Practice location
- **Address:** 2934 NILES AVE, Saint Joseph, MI 49085-2418
- **Phone:** (269) 983-2292 · **Fax:** (269) 983-6155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2012
- **Other identifiers:** Medicare UPIN U22977 (MI); Other 0A10068 (MI); Other 1619035474 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366706004) · Data from the CMS NPPES public registry.