Individual provider Active NPI

Asal Rahbar Lenz, ATC

  • Athletic Trainer
  • Concord, NC
National Provider Identifier
1407453640
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1997 Issued in NC
Practice address
5140 NW Cabarrus Dr
Concord, NC 28027-7624
Phone
(704) 260-6550
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1997 NC Primary

Addresses

Primary practice location

5140 NW Cabarrus Dr
Concord, NC 28027-7624

Mailing address

5140 NW Cabarrus Dr
Concord, NC 28027-7624
Phone (704) 260-6550

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.cabarruscountyathletics.com/northwestcabarrusms

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
1997NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1407453640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 NW CABARRUS DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277624",
            "telephone_number": "704-260-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 NW CABARRUS DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277624",
            "telephone_number": "704-260-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ",
        "first_name": "ASAL",
        "middle_name": "RAHBAR",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.cabarruscountyathletics.com/northwestcabarrusms",
            "affiliation": "N",
            "address_1": "5140 NW Cabarrus Dr",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280277624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.