Active NPI
Richard Peter Lenz, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Bangor, ME
National Provider Identifier
1093707275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 011662
- Practice address
- 885 Union St
Ste 145
Bangor, ME 04401-3083 - Phone
- (207) 973-9595
- Fax
- (207) 973-7755
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 011662 | ME | Primary |
Addresses
Primary practice location
885 Union St
Ste 145
Bangor, ME 04401-3083
Mailing address
885 Union St
Ste 145
Bangor, ME 04401-3083
Phone (207) 973-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303120099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011662 | ME | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1093707275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 UNION ST",
"address_2": "STE 145",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013083",
"telephone_number": "207-973-9595",
"fax_number": "207-973-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 UNION ST",
"address_2": "STE 145",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013083",
"telephone_number": "207-973-9595",
"fax_number": "207-973-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "RICHARD",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "ME",
"license": "011662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303120099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.