Organization Active NPI

Lantz Medical, Inc.

  • Customized Equipment (DME)
  • Merrillville, IN
National Provider Identifier
1629037304
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LANTZ MEDICAL, INC.
Practice address
8105 Georgia St
Merrillville, IN 46410-6224
Phone
(317) 536-4870
Fax
(317) 536-4872
NPI assigned
Mar 21, 2006
Organization subpart
Yes
Parent organization
TL INDIANA HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Jennifer Addington
Title
Compliance
Phone
(317) 536-4870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

8105 Georgia St
Merrillville, IN 46410-6224

Mailing address

PO Box 2153 Dept 8031
Birmingham, AL 35287-8031
Phone (317) 536-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016917 IN DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 9830394527 Practice locations: Merrillville, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lantz Medical8105 Georgia St, Merrillville, IN 46410-62243175364870210 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jun 5, 2007

National Provider Directory

National Provider Directory
Tax ID family
Lantz Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8105 Georgia St
Merrillville, IN 46410
Phone (219) 202-8030

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1629037304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 8031",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352878031",
            "telephone_number": "317-536-4870",
            "fax_number": "317-536-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 GEORGIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106224",
            "telephone_number": "317-536-4870",
            "fax_number": "317-536-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTZ MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TL INDIANA HOLDINGS, INC.",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "ADDINGTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "317-536-4870"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.