Individual provider Active NPI

Thomas W. Lennartz, D.C.

  • Chiropractor
  • Culver City, CA
National Provider Identifier
1659443893
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19516 Issued in CA
Practice address
11276 Washington Blvd.
Culver City, CA 90230-4620
Phone
(310) 397-8972
Fax
(310) 398-8252
NPI assigned
Nov 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19516 CA Primary

Addresses

Primary practice location

11276 Washington Blvd.
Culver City, CA 90230-4620

Mailing address

11276 Washington Blvd.
Culver City, CA 90230-4620
Phone (310) 397-8972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000466 CA Practitioner - Chiropractic 8820008626 Practice locations: Culver City, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11268 Washington Blvd
Suite 202
Culver City, CA 90230-4647
Phone (310) 397-8972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC19516CAMDChiropractor
19516CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659443893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11276 WASHINGTON BLVD.",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304620",
            "telephone_number": "310-397-8972",
            "fax_number": "310-398-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 WASHINGTON BLVD.",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304620",
            "telephone_number": "310-397-8972",
            "fax_number": "310-398-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNARTZ",
        "first_name": "THOMAS",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.