Active NPI
Michael Edward Lennon, D.C.
- Chiropractor
- Morgan Hill, CA
National Provider Identifier
1073546818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29665
- Practice address
- 17705 Hale Ave
Suite I-3
Morgan Hill, CA 95037-4340 - Phone
- (408) 776-1111
- Fax
- (408) 776-1115
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29665 | CA | Primary |
Addresses
Primary practice location
17705 Hale Ave
Suite I-3
Morgan Hill, CA 95037-4340
Mailing address
17705 Hale Ave
Suite I-3
Morgan Hill, CA 95037-4340
Phone (408) 776-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC29665 | Other | CA | LICENSE NUMBER |
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 |
|---|---|---|---|
| DC29665 | CA | MD | Chiropractor |
| 29665 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Lisa Pierotti Healthsource Chiropractic and Nutrition, Inc. | Past | Accepting new patients | |
| Linford Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nutrition Chiropractor
- San Carlos, CA
- NPI 1578705596
-
- Chiropractor
- San Carlos, CA
- NPI 1700011152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073546818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE I-3",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-776-1111",
"fax_number": "408-776-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE I-3",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-776-1111",
"fax_number": "408-776-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DC29665",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.