Active NPI
Michael Stevens Hawthorne, D.C.
- Chiropractor
- Grand Junction, CO
National Provider Identifier
1760682934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- .0007435
- Practice address
- 514 28 1/4 Rd Unit 1
Grand Junction, CO 81501-4961 - Phone
- (970) 242-8162
- NPI assigned
- Jul 24, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30584 | CA | |
| Chiropractor | 111N00000X | .0007435 | CO | Primary |
Addresses
Primary practice location
514 28 1/4 Rd Unit 1
Grand Junction, CO 81501-4961
Mailing address
514 28 1/4 Rd Unit 1
Grand Junction, CO 81501-4961
Phone (970) 242-8162
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30584 | CA | MD | Chiropractor |
| .0007435 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ojai Spine and Sports Clinic | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- michael.hawthorne.1@17855.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ojai, CA
- NPI 1891940441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1760682934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 28 1/4 RD UNIT 1",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014961",
"telephone_number": "970-242-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 28 1/4 RD UNIT 1",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014961",
"telephone_number": "970-242-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "MICHAEL",
"middle_name": "STEVENS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30584",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": ".0007435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.