Individual provider Active NPI

John L Mayfield, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Grass Valley, CA
National Provider Identifier
1255366381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10905 Issued in CA
Practice address
565 Brunswick Road
Suite 12
Grass Valley, CA 95945
Phone
(530) 272-8839
Fax
(530) 272-9057
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC10905 CA Primary

Addresses

Primary practice location

565 Brunswick Road
Suite 12
Grass Valley, CA 95945

Mailing address

565 Brunswick Road
Suite 12
Grass Valley, CA 95945
Phone (530) 272-8839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000452 CA Practitioner - ChiropracticPractitioner - Oral Surgery 0840237624 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Oral Surgery
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

565 Brunswick Rd
Grass Valley, CA 95945-9529
Phone (530) 272-8839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC10905CAMDChiropractor
10905CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255366381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BRUNSWICK ROAD",
            "address_2": "SUITE 12",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-272-8839",
            "fax_number": "530-272-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BRUNSWICK ROAD",
            "address_2": "SUITE 12",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-272-8839",
            "fax_number": "530-272-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.