Individual provider Active NPI

Joseph Lawrence Lennon, DC

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1477588895
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17519 Issued in CA
Practice address
3687 Las Posas Rd
Ste 185
Camarillo, CA 93010-1431
Phone
(805) 484-1990
Fax
(805) 388-8773
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 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 17519 CA Primary
Chiropractor 111N00000X 006296 MO

Addresses

Primary practice location

3687 Las Posas Rd
Ste 185
Camarillo, CA 93010-1431

Mailing address

3801 Las Posas Rd
Suite 114
Camarillo, CA 93010-1427
Phone (895) 482-4193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610002416 CA Practitioner - Chiropractic 6204971351 Reassigns benefits to 1 organization
Practice locations: Camarillo, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Health Group IncGroup PAC ID 4587967575, 4 clinicians

Practice addresses (Care Compare)

55 Rolling Oaks Dr
Suite 100
Thousand Oaks, CA 91361-1010
Phone (805) 499-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006296MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Health Group Inc Chiropractor CurrentSince Mar 27, 2019 Accepting new patients
Stanley D. Jensen, D.C. a Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

55 Rolling Oaks Dr
Ste 100
Thousand Oaks, CA 91361
Phone (805) 499-4446

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1477588895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE 114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "895-482-4193",
            "fax_number": "805-832-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "STE 185",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101431",
            "telephone_number": "805-484-1990",
            "fax_number": "805-388-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "JOSEPH",
        "middle_name": "LAWRENCE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17519",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006296",
            "primary": false
        }
    ],
    "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 May 25, 2016; 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.