Organization Active NPI

Lazy J Bar D, LLC

  • Prosthetic/Orthotic Supplier
  • Friendswood, TX
National Provider Identifier
1780201079
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LAZY J BAR D, LLC
Practice address
106 Pecan Dr
Friendswood, TX 77546-3828
Phone
(713) 397-9558
Fax
(833) 915-0204
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Mr. Jason Mansfield Jennings, CPONPI 1366700445
Title
Owner/President
Phone
(713) 397-9558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

106 Pecan Dr
Friendswood, TX 77546-3828

Mailing address

106 Pecan Dr
Friendswood, TX 77546-3828
Phone (713) 397-9558

Other names 1

  • Capstone Orthotics and Prosthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915001214 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 7012335656 Practice locations: Friendswood, TX

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Capstone Orthotics and Prosthetics106 Pecan Dr, Friendswood, TX 77546-3828(713) 397-9558 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Aug 24, 2020

National Provider Directory

National Provider Directory

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": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1780201079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PECAN DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463828",
            "telephone_number": "713-397-9558",
            "fax_number": "833-915-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PECAN DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463828",
            "telephone_number": "713-397-9558",
            "fax_number": "833-915-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZY J BAR D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MANSFIELD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-397-9558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.