Maxim Chiropractic Three
Maxim Chiropractic Three is a healthcare organization registered as Chiropractor in Mesa, AZ, holding Type 2 (organization) NPI 1003960873 since 2007. The authorized official on file is Justin Fossum, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003960873 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maxim Chiropractic Three |
| Practice address | 1830 S ALMA SCHOOL RD, Mesa, AZ, 85210 |
| Phone | 4802225170 |
| Fax | 4802225163 |
| Enumeration date | 2007-01-22 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Justin Fossum |
|---|---|
| Title | Manager |
| Phone | 4802225170 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0931560 | Other | AZ | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Maxim Chiropractic Three NPI: 1003960873 Taxonomy: 111N00000X (Chiropractor) Address: 1830 S ALMA SCHOOL RD, Mesa, AZ, 85210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467445122 | Robert Zenner | Individual | Psychiatry Physician | Mesa, AZ |
| 1073578845 | Mysore Suresh | Individual | General Practice Dentistry | Mesa, AZ |
| 1992759393 | Pooja Suresh | Individual | Dentist | Mesa, AZ |
| 1548295462 | Donald Polansky | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Mesa, AZ |
| 1902828825 | Darryl Stein | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Mesa, AZ |
| 1588745897 | Raymond Branton | Individual | Family Psychologist | Mesa, AZ |
| 1245372580 | Phoenix Perfusion Services | Organization | Perfusionist | Mesa, AZ |
| 1417082256 | Jean Virnig | Individual | Pediatric Occupational Therapist | Mesa, AZ |
Verify this record
Cross-check NPI 1003960873 against the authoritative CMS record: view Maxim Chiropractic Three on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Maxim Chiropractic Three?
What is the NPI number for Maxim Chiropractic Three?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.