Individual provider Active NPI

Erena Martina Lanza, DC

  • Chiropractor
  • Bridgeville, PA
National Provider Identifier
1376161646
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011692 Issued in PA
Practice address
50 Abele Rd Ste 1003
Bridgeville, PA 15017-3442
Phone
(412) 998-9966
NPI assigned
Jul 13, 2020
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011692 PA Primary

Addresses

Primary practice location

50 Abele Rd Ste 1003
Bridgeville, PA 15017-3442

Mailing address

50 Abele Rd Ste 1003
Bridgeville, PA 15017-3442
Phone (412) 998-9966

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

LicenseStateTypeSpecialty
DC011692PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Origins Chiropractic and Wellness Chiropractor CurrentSince Feb 6, 2022 Accepting new patients

Locations

50 Abele Rd
Ste 1003
Bridgeville, PA 15017
Phone (412) 998-9966

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1376161646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ABELE RD STE 1003",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173442",
            "telephone_number": "412-998-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ABELE RD STE 1003",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173442",
            "telephone_number": "412-998-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA",
        "first_name": "ERENA",
        "middle_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.