Organization Active NPI

Lantz Medical, Inc.

  • Customized Equipment (DME)
  • Birmingham, AL
National Provider Identifier
1649719030
Registry record updated Jan 30, 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
300 Cahaba Park Cir Ste 110
Birmingham, AL 35242-5044
Phone
(205) 315-5200
Fax
(844) 271-6547
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

300 Cahaba Park Cir Ste 110
Birmingham, AL 35242-5044

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 AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171117002933 AL DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 9830394527 Practice locations: Birmingham, AL

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 Medical, Inc300 Cahaba Park Cir, Birmingham, AL 35242-5044(205) 315-5200 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

300 Cahaba Park Cir
Ste 110
Birmingham, AL 35242
Phone (205) 315-5200

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1649719030",
    "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": "844-271-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAHABA PARK CIR STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425044",
            "telephone_number": "205-315-5200",
            "fax_number": "844-271-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTZ MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.