Individual provider Active NPI

Michael Stevens Hawthorne, D.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1760682934
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
.0007435 Issued in CO
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

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC-30584CAMDChiropractor
.0007435COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ojai Spine and Sports Clinic Chiropractor PastSince May 23, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.