Active NPI
Lantz Medical, Inc.
- Customized Equipment (DME)
- Merrillville, IN
National Provider Identifier
1629037304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016917 | IN | DME Supplier - Medical Supply Company | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lantz Medical | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Lantz Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Birmingham, AL
- NPI 1649719030
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.