Active NPI
John J Lenz, DDS
- General Practice Dentistry
- Wilmington, DE
National Provider Identifier
1679793400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G1-0000808
- Practice address
- 2309 Pennsylvania Ave
Wilmington, DE 19806-1318 - Phone
- (302) 654-6915
- Fax
- (302) 654-3218
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G1-0000808 | DE | Primary |
Addresses
Primary practice location
2309 Pennsylvania Ave
Wilmington, DE 19806-1318
Mailing address
2309 Pennsylvania Ave
Wilmington, DE 19806-1318
Phone (302) 654-6915
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0000808 | DE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Dental Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679793400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 PENNSYLVANIA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061318",
"telephone_number": "302-654-6915",
"fax_number": "302-654-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 PENNSYLVANIA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061318",
"telephone_number": "302-654-6915",
"fax_number": "302-654-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "JOHN",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G1-0000808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.