Individual provider Active NPI

David Lenczyk, RPA/RA, CBRPA

  • Radiology Practitioner Assistant
  • Orlando, FL
National Provider Identifier
1730564196
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
07FL1293 Issued in UT
Practice address
51 W Kaley St
Orlando, FL 32806-2942
Phone
(407) 999-9925
Fax
(407) 865-6005
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 07FL1293 UT Primary

Addresses

Primary practice location

51 W Kaley St
Orlando, FL 32806-2942

Mailing address

929 Lagoon Dr
Oviedo, FL 32765-8410
Phone (407) 592-5604

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07FL1293UTMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1730564196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 LAGOON DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658410",
            "telephone_number": "407-592-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062942",
            "telephone_number": "407-999-9925",
            "fax_number": "407-865-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENCZYK",
        "first_name": "DAVID",
        "credential": "RPA/RA, CBRPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "UT",
            "license": "07FL1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.