Organization Active NPI

Jencyn Inc

Doing business as Jencyn Medical

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
National Provider Identifier
1689764425
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JENCYN INC
Doing business as
Jencyn Medical
Practice address
5521 Shady Creek CT
Suite 1
Lincoln, NE 68516-1888
Phone
(402) 476-5222
Fax
(402) 476-5250
NPI assigned
Oct 13, 2006
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Larry L Fell
Title
Owner
Phone
(402) 476-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5521 Shady Creek CT
Suite 1
Lincoln, NE 68516-1888

Mailing address

5521 Shady Creek CT
Suite 1
Lincoln, NE 68516-1888
Phone (402) 476-5222

Other identifiers 1

IdentifierTypeStateIssuer
10025577500MedicaidNE

Other names 1

  • Jencyn Medical Doing business as

National Provider Directory

National Provider Directory

Locations

5521 Shady Creek Ct
Lincoln, NE 68516
Phone (402) 476-5222

5521 Shady Creek Ct
Ste 1
Lincoln, NE 68516
Phone (402) 476-5222

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1689764425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 SHADY CREEK CT",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161888",
            "telephone_number": "402-476-5222",
            "fax_number": "402-476-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 SHADY CREEK CT",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161888",
            "telephone_number": "402-476-5222",
            "fax_number": "402-476-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "FELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-476-5222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025577500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jencyn Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.