Active NPI
Lentz Pediatrics, PLC
- Pediatrics Physician
- Jackson, TN
National Provider Identifier
1942011143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- LENTZ PEDIATRICS, PLC
- Practice address
- 19 Security Dr
Jackson, TN 38305-3626 - Phone
- (731) 664-9040
- Fax
- (731) 664-9040
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 17, 2025
- Organization subpart
- Yes
- Parent organization
- LENTZ PEDIATRICS, PLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristy Chesser
- Title
- Office Manager
- Phone
- (731) 664-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
19 Security Dr
Jackson, TN 38305-3626
Mailing address
19 Security Dr
Jackson, TN 38305-3626
Phone (731) 664-9040
Other names 1
- Lentz Pediatrics Jackson
National Provider Directory
National Provider Directory- Tax ID family
- Lentz Pediatrics PLC
- Part of
- Lentz Pediatrics PLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Lexington, TN
- NPI 1467637611
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Rural Health Clinic/Center
- Lexington, TN
- NPI 1467637611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Lexington, TN
- NPI 1649218603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1942011143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SECURITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053626",
"telephone_number": "731-664-9040",
"fax_number": "731-664-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SECURITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053626",
"telephone_number": "731-664-9040",
"fax_number": "731-664-9040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENTZ PEDIATRICS, PLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LENTZ PEDIATRICS, PLC",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "CHESSER",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "731-664-9040"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lentz Pediatrics Jackson",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.