Michael Hawks

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12944482-1202 Issued in UT

Practice address

5069 W 13400 S Ste 100
Riverton, UT 84096-6603

Phone

(801) 253-8141

NPI assigned

Aug 29, 2022

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 UT

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copperwell Chiropractic LLCGroup PAC ID 0446428023, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Copperwell Chiropractic LLC

  • Chiropractor
  • Riverton, UT
  • NPI 1528365566
  Medicare reassignment Care Compare group NPD
• Agea Massage

  dba Gabriela Aguillon

  • Massage Therapist
  • Riverton, UT
  • NPI 1841571239
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1255051520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 W 13400 S STE 100",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966603",
            "telephone_number": "801-253-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 W 13400 S STE 100",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966603",
            "telephone_number": "801-253-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12944482-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas James Hasbrouck, M.D.
• Kyleigh McKay Hatch
• Amber Hawk, APRN
• Haley Hawkins, LCSW
• Daxton Aaron Hawks, OD, MBA
• Christine Ann Hayes
• Bethany L Hayward
• Grant Eric Helt
• Bradley Hendricks, D.C.
• Samantha Elizabeth Hersch III

• Chiropractor in Riverton, UT
• Providers in Riverton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.