Organization Active NPI

Lentz Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Ormond Beach, FL
National Provider Identifier
1154851715
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME91557 Issued in FL
Legal business name
LENTZ PLASTIC SURGERY PLLC
Practice address
1265 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8256
Phone
(386) 252-8051
Fax
(386) 252-1173
NPI assigned
Jun 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ashley K Lentz, MDNPI 1487739900
Title
President
Phone
(386) 252-8051

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME91557 FL Primary

Addresses

Primary practice location

1265 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8256

Mailing address

1265 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8256
Phone (386) 252-8051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022004500 FL Part B Supplier - Clinic/Group Practice 9739454877 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154851715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748256",
            "telephone_number": "386-252-8051",
            "fax_number": "386-252-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748256",
            "telephone_number": "386-252-8051",
            "fax_number": "386-252-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENTZ PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-252-8051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME91557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.