Lance Aaron O'Connor, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC22107 Issued in CA

Practice address

910 Vallejo St
Santa Rosa, CA 95404-5115

Phone

(707) 525-9111

Fax

(707) 526-9374

NPI assigned

Jun 1, 2007

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Judevine Chiropractic & Rehabilitation Clinic Inc.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1477856938
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1417159419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VALLEJO ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045115",
            "telephone_number": "707-525-9111",
            "fax_number": "707-526-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VALLEJO ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045115",
            "telephone_number": "707-525-9111",
            "fax_number": "707-526-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "LANCE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC22107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaela Patricia O'Brien
• Michael J. O'Connell, R.A.S.-CA.
• Patricia Carey O'Connell, PH.D.
• Gale Ann O'Connor, CRNA
• Kevin O'Connor, LCSW
• Laura Jones O'Connor, M.D.
• Madison O'Connor
• Jack O'Dea
• Sara K O'Docharty
• Thomas O'Donnell

• Rehabilitation Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.