Individual provider Active NPI

Leslie Patrick Lutter

  • Home Modifications Contractor
  • Bronson, IA
National Provider Identifier
1023215811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
515 E Front St
Bronson, IA 51007-5025
Phone
(712) 389-7682
Fax
(712) 276-2100
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

515 E Front St
Bronson, IA 51007-5025

Mailing address

515 E Front St
Bronson, IA 51007-5025
Phone (712) 389-7682

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023215811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E FRONT ST",
            "city": "BRONSON",
            "state": "IA",
            "postal_code": "510075025",
            "telephone_number": "712-389-7682",
            "fax_number": "712-276-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E FRONT ST",
            "city": "BRONSON",
            "state": "IA",
            "postal_code": "510075025",
            "telephone_number": "712-389-7682",
            "fax_number": "712-276-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTER",
        "first_name": "LESLIE",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronson, IA

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.

Verify at the official NPI Registry.