Active NPI
Maveric Hartwell, D.C.
- Chiropractor
- Ojai, CA
National Provider Identifier
1316318702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.