Organization Active NPI

Lenz Chiropractic, PC

  • Chiropractor
  • White City, OR
National Provider Identifier
1669536892
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LENZ CHIROPRACTIC, PC
Practice address
3030 Avenue H
White City, OR 97503-1341
Phone
(541) 826-6800
Fax
(541) 826-7008
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Leigh F Lenz, D.C.
Title
Vice President, Secretary
Phone
(541) 826-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3030 Avenue H
White City, OR 97503-1341

Mailing address

3030 Avenue H
White City, OR 97503-1341
Phone (541) 826-6800

Other names 1

  • Lenz Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000254 OR Part B Supplier - Clinic/Group Practice 3274587001 Receives reassigned benefits from 1 practitioner
Practice locations: White City, OR

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0627912Lenz Chiropractic PC3030 Avenue H, White City, OR 97503Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

104 N Royal Ave
Eagle Point, OR 97524
Phone (541) 826-6800

3030 Avenue H
White City, OR 97503
Phone (541) 826-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1669536892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 AVENUE H",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031341",
            "telephone_number": "541-826-6800",
            "fax_number": "541-826-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 AVENUE H",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031341",
            "telephone_number": "541-826-6800",
            "fax_number": "541-826-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENZ CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "541-826-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenz Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in White City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.