Active NPI
William H. Lenz, DPM, PC
Doing business as Lenz Kruljac Distazio DPMS
- Foot & Ankle Surgery Podiatrist
- Homestead, PA
National Provider Identifier
1710911912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- WILLIAM H. LENZ, DPM, PC
- Doing business as
- Lenz Kruljac Distazio DPMS
- Practice address
- 495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140 - Phone
- (412) 461-1108
- Fax
- (412) 461-5490
- NPI assigned
- Jul 11, 2006
- Last updated
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diane L Lynch
- Title
- Operations Manager
- Phone
- (412) 461-1108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140
Mailing address
495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140
Phone (412) 461-1108
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T28597 | Other | PA | UPIN STEPHEN KRULJAC |
| T29930 | Other | PA | UPIN JOHN DISTAZIO |
| T30166 | Other | PA | UPIN WILLIAM LENZ |
| 1366414088 | Other | PA | INDIVIDUAL NPI JOHN DISTAZIO |
| 1972582476 | Other | PA | INDIVIDUAL NPI KATHLEEN O'CONNELL |
| 1760454326 | Other | PA | INDIVIDUAL NPI WILLIAM LENZ |
| 1861464836 | Other | PA | INDIVIDUAL NPI STEPHEN KRULJAC |
| 455619 | Other | PA | BLUE SHIELD PROVIDER NUMBER |
Other names 1
- LENZ KRULJAC DISTAZIO DPMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1710911912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 WATERFRONT DR E",
"address_2": "SUITE 230",
"city": "HOMESTEAD",
"state": "PA",
"postal_code": "151201140",
"telephone_number": "412-461-1108",
"fax_number": "412-461-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 WATERFRONT DR E",
"address_2": "SUITE 230",
"city": "HOMESTEAD",
"state": "PA",
"postal_code": "151201140",
"telephone_number": "412-461-1108",
"fax_number": "412-461-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM H. LENZ, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "412-461-1108",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN STEPHEN KRULJAC",
"identifier": "T28597",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN JOHN DISTAZIO",
"identifier": "T29930",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN WILLIAM LENZ",
"identifier": "T30166",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI JOHN DISTAZIO",
"identifier": "1366414088",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI KATHLEEN O'CONNELL",
"identifier": "1972582476",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI WILLIAM LENZ",
"identifier": "1760454326",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI STEPHEN KRULJAC",
"identifier": "1861464836",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMBER",
"identifier": "455619",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LENZ KRULJAC DISTAZIO DPMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Homestead, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.