Active NPI
Lazy J Bar D, LLC
- Prosthetic/Orthotic Supplier
- Friendswood, TX
National Provider Identifier
1780201079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Mansfield Jennings, CPO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915001214 | TX | DME Supplier - Prosthetic Personnel | 7012335656 | Practice locations: Friendswood, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Capstone Orthotics and Prosthetics | 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 assignment |
National Provider Directory
National Provider DirectoryPractitioners & 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.