Individual provider Active NPI

Benjamin A Lanza, D.P.M.

  • Foot Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1801822283
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC0076 Issued in SC
Practice address
1900 Hampton St
Columbia, SC 29201-3536
Phone
(803) 779-5005
Fax
(803) 252-1720
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC0076 SC Primary

Addresses

Primary practice location

1900 Hampton St
Columbia, SC 29201-3536

Mailing address

1900 Hampton St
Columbia, SC 29201-3536
Phone (803) 779-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000493 SC Practitioner - Podiatry 6204858418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76SCMDAcupuncturist
SC0076SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Oct 1, 2007 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Oct 1, 2007 Accepting new patients

Locations

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2414 Bull St
#3183
Columbia, SC 29201

2100 Bull St
Columbia, SC 29201
Phone (803) 898-1574

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2200 Harden St
Columbia, SC 29203
Phone (803) 737-5300

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

8301 Farrow Rd
Columbia, SC 29203
Phone (803) 935-5604

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1801822283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013536",
            "telephone_number": "803-779-5005",
            "fax_number": "803-252-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013536",
            "telephone_number": "803-779-5005",
            "fax_number": "803-252-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "SC0076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.