Individual provider Active NPI

Maura Hartzman, DACM, DIP. OM, L.AC

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1760160519
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13412435-1201 Issued in UT
Practice address
1760 S 1100 E Ste 3
Salt Lake City, UT 84105-3492
Phone
(435) 315-2616
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NC-2084 NC
Acupuncturist 171100000X 13412435-1201 UT Primary

Addresses

Primary practice location

1760 S 1100 E Ste 3
Salt Lake City, UT 84105-3492

Mailing address

1760 S 1100 E
Salt Lake City, UT 84105-3400
Phone (336) 509-8945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC-2084NCMDAcupuncturist
13412435-1201UTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1760160519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053400",
            "telephone_number": "336-509-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 S 1100 E STE 3",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053492",
            "telephone_number": "435-315-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZMAN",
        "first_name": "MAURA",
        "name_prefix": "Dr.",
        "credential": "DACM, DIP. OM, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "NC-2084",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "13412435-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.