Individual provider Active NPI

Landon Daniel Poling

  • Chiropractor
  • Westlake Village, CA
National Provider Identifier
1093309296
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35004 Issued in CA
Practice address
890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873
Phone
(805) 341-1429
NPI assigned
Feb 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 35004 CA Primary

Addresses

Primary practice location

890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873

Mailing address

890 Hampshire Rd Ste E
Westlake Village, CA 91361-2873
Phone (805) 341-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000434 CA Practitioner - Chiropractic 3678980877 Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 Hampshire Rd
Suite E
Westlake Village, CA 91361-2873
Phone (805) 341-1429

890 Hampshire Rd E
Westlake Village, CA 91361-2873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Solutions Physical Therapy CurrentSince Aug 1, 2021 Accepting new patients
Fueled Nutrition Therapy CurrentSince Sep 26, 2021 Accepting new patients

Locations

890 Hampshire Rd
Ste E
Westlake Village, CA 91361
Phone (805) 341-1429

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1093309296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HAMPSHIRE RD STE E",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612873",
            "telephone_number": "805-341-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 HAMPSHIRE RD STE E",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612873",
            "telephone_number": "805-341-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "LANDON",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.