Active NPI
Tyler G Storz, CPED, COF
- Specialist
- Lincoln, NE
National Provider Identifier
1356485668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 4500 S 70TH St
Suite 102
Lincoln, NE 68516-4283 - Phone
- (402) 484-6300
- Fax
- (402) 484-6302
- NPI assigned
- Feb 19, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NE | Primary |
Addresses
Primary practice location
4500 S 70TH St
Suite 102
Lincoln, NE 68516-4283
Mailing address
4500 S 70TH St
Suite 102
Lincoln, NE 68516-4283
Phone (402) 484-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41206044600 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | NE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmel Enterprises, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1225210933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1356485668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S 70TH ST",
"address_2": "SUITE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164283",
"telephone_number": "402-484-6300",
"fax_number": "402-484-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S 70TH ST",
"address_2": "SUITE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164283",
"telephone_number": "402-484-6300",
"fax_number": "402-484-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORZ",
"first_name": "TYLER",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "CPED, COF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41206044600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.