Active NPI
Edward Joseph Lenz Jr., D.D.S.
- Dentist
- Marion, IA
National Provider Identifier
1821250663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08545
- Practice address
- 895 8TH Ave
Marion, IA 52302-5758 - Phone
- (319) 377-2278
- Fax
- (319) 447-6085
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08545 | IA | Primary |
| General Practice Dentistry | 1223G0001X | 08545 | IA |
Addresses
Primary practice location
895 8TH Ave
Marion, IA 52302-5758
Mailing address
895 8TH Ave
Marion, IA 52302-5758
Phone (319) 377-2278
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08545 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1821250663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 8TH AVE",
"city": "MARION",
"state": "IA",
"postal_code": "523025758",
"telephone_number": "319-377-2278",
"fax_number": "319-447-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 8TH AVE",
"city": "MARION",
"state": "IA",
"postal_code": "523025758",
"telephone_number": "319-377-2278",
"fax_number": "319-447-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08545",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.