Organization Active NPI

Dr Charles Lenz, LLC

  • Chiropractor
  • Los Alamos, NM
National Provider Identifier
1114410834
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1850 Issued in NM
Legal business name
DR CHARLES LENZ, LLC
Doing business as
Los Alamos Chiropractic Center
Practice address
2610 Trinity Dr Ste 14
Los Alamos, NM 87544-2362
Phone
(505) 662-3022
Fax
(505) 662-3022
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Charles Irvin Lenz, DCNPI 1043529027
Title
Chiropractor
Phone
(505) 662-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1850 NM Primary

Addresses

Primary practice location

2610 Trinity Dr Ste 14
Los Alamos, NM 87544-2362

Mailing address

2610 Trinity Dr Ste 14
Los Alamos, NM 87544-2362
Phone (505) 662-3022

Other names 1

  • Los Alamos Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827000806 NM Part B Supplier - Clinic/Group Practice 1951650829 Receives reassigned benefits from 2 practitioners
Practice locations: Los Alamos, NM

National Provider Directory

National Provider Directory

Locations

2610 Trinity Dr
Ste 14
Los Alamos, NM 87544
Phone (505) 500-8213

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1114410834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR STE 14",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442362",
            "telephone_number": "505-662-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR STE 14",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442362",
            "telephone_number": "505-662-3022",
            "fax_number": "505-662-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES LENZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "505-662-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamos Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.