Individual provider Active NPI

John Luther Lentz Jr., M.D.

  • Family Medicine Physician
  • Destin, FL
National Provider Identifier
1356395693
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82437 Issued in FL
Practice address
737 Highway 98 E Ste 1
Destin, FL 32541-2538
Phone
(850) 424-6841
Fax
(850) 424-6845
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME82437 FL Primary

Addresses

Primary practice location

737 Highway 98 E Ste 1
Destin, FL 32541-2538

Mailing address

737 Highway 98 E Ste 1
Destin, FL 32541-2538
Phone (850) 424-6841

Other names 1

  • Dr. J Luke Lentz Other name

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J. Luke Lentz, MD, PA Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Andalusia Emergency Physicians, LLC Past Accepting new patients
T3 Solutions Incorporated PastSince Jan 1, 2016 Accepting new patients
Village Health Associates LLC Past Accepting new patients
Southland Medical Solutions of Eufaula, PL Past Accepting new patients
Village Health Associates, LLC Past Accepting new patients
Pineleaf Emergency Physicians LLC Past Accepting new patients
Primecare of NW FL Family Medicine Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220659200000",
    "number": "1356395693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 HIGHWAY 98 E STE 1",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412538",
            "telephone_number": "850-424-6841",
            "fax_number": "850-424-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 HIGHWAY 98 E STE 1",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412538",
            "telephone_number": "850-424-6841",
            "fax_number": "850-424-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "JOHN",
        "middle_name": "LUTHER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LENTZ",
            "middle_name": "LUKE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; 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.