Individual provider Active NPI

Steven Dean Jensen, D.C.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1043234990
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17932 Issued in CA
Practice address
1000 Paseo Camarillo
#118
Camarillo, CA 93010-6021
Phone
(805) 987-4375
Fax
(805) 987-6869
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17932 CA Primary

Addresses

Primary practice location

1000 Paseo Camarillo
#118
Camarillo, CA 93010-6021

Mailing address

669 Calle Portilla
Camarillo, CA 93010-1862
Phone (805) 987-4375

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
DC17932CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Chiropractic Professional Corporation Chiropractor CurrentSince Dec 14, 2015 Accepting new patients

Locations

1000 Paseo Camarillo
Ste 118
Camarillo, CA 93010
Phone (805) 419-4234

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1043234990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 CALLE PORTILLA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101862",
            "telephone_number": "805-987-4375",
            "fax_number": "805-987-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO",
            "address_2": "#118",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106021",
            "telephone_number": "805-987-4375",
            "fax_number": "805-987-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEVEN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.