Individual provider Active NPI

Maveric Hartwell, D.C.

  • Chiropractor
  • Ojai, CA
National Provider Identifier
1316318702
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33391 Issued in CA
Practice address
11400 N Ventura Ave
Ojai, CA 93023-4134
Phone
(818) 648-2610
NPI assigned
Oct 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 33391 CA
Chiropractor 111N00000X 33391 CA Primary

Addresses

Primary practice location

11400 N Ventura Ave
Ojai, CA 93023-4134

Mailing address

11400 N Ventura Ave
Ojai, CA 93023-4134
Phone (818) 648-2610

Other practice location 1

2955 N Moorpark Rd
Thousand Oaks, CA 91360-4568
Phone (818) 648-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208002844 CA Practitioner - Chiropractic 7315248713 Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7765 Healdsburg Ave
Suite 4
Sebastopol, CA 95472-3310
Phone (805) 941-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1316318702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 N VENTURA AVE",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930234134",
            "telephone_number": "818-648-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 N VENTURA AVE",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930234134",
            "telephone_number": "818-648-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 N Moorpark Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913604568",
            "country_code": "US",
            "telephone_number": "818-648-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "MAVERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33391",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.