Active NPI
Lenox Medical Supply Services, LLC
- Durable Medical Equipment & Medical Supplies
- Washington, DC
National Provider Identifier
1396762282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LENOX MEDICAL SUPPLY SERVICES, LLC
- Practice address
- 1712 14TH St NW
Suite 3-2
Washington, DC 20009-4309 - Phone
- (202) 387-1960
- Fax
- (202) 387-1963
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chijioke Uchenna Ibetoh
- Title
- Co-Owner
- Phone
- (202) 387-1960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DC | Primary |
Addresses
Primary practice location
1712 14TH St NW
Suite 3-2
Washington, DC 20009-4309
Mailing address
1712 14TH St NW
Suite 3-2
Washington, DC 20009-4309
Phone (202) 387-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037353400 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
1712 14th St NW
Ste 32
Washington, DC 20009
Phone (202) 387-1960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1396762282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 14TH ST NW",
"address_2": "SUITE 3-2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200094309",
"telephone_number": "202-387-1960",
"fax_number": "202-387-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 14TH ST NW",
"address_2": "SUITE 3-2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200094309",
"telephone_number": "202-387-1960",
"fax_number": "202-387-1963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENOX MEDICAL SUPPLY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "IBETOH",
"authorized_official_first_name": "CHIJIOKE",
"authorized_official_middle_name": "UCHENNA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "202-387-1960",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037353400",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.