Active NPI
Tom E Lehnerer
- Hearing Instrument Specialist
- Phoenix, AZ
National Provider Identifier
1891281507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1974
- Practice address
- 4120 N 108TH Ave Ste 120
Phoenix, AZ 85037-5773 - Phone
- (623) 877-8750
- Fax
- (623) 551-9149
- NPI assigned
- Jul 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1974 | AZ | Primary |
Addresses
Primary practice location
4120 N 108TH Ave Ste 120
Phoenix, AZ 85037-5773
Mailing address
4120 N 108TH Ave Ste 120
Phoenix, AZ 85037-5773
Phone (623) 877-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336344860 | Medicaid | AZ |
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 |
|---|---|---|---|
| 1974 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1891281507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 N 108TH AVE STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375773",
"telephone_number": "623-877-8750",
"fax_number": "623-551-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 N 108TH AVE STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375773",
"telephone_number": "623-877-8750",
"fax_number": "623-551-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHNERER",
"first_name": "TOM",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AZ",
"license": "1974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336344860",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.