Active NPI
Robert Preston Lentz, MD
- Pediatrics Physician
- Greensboro, NC
National Provider Identifier
1992805378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29136
- Practice address
- 4529 Jessup Grove Rd
Greensboro, NC 27410-9407 - Phone
- (336) 605-0190
- Fax
- (336) 605-0930
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29136 | NC | Primary |
Addresses
Primary practice location
4529 Jessup Grove Rd
Greensboro, NC 27410-9407
Mailing address
4529 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 605-0190
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469 | Other | NC | PARTNERS MEDICARE |
| 51677 | Other | NC | BCBS OF NC |
| 8951677 | Medicaid | NC | |
| 1200328 | Other | NC | UHC |
| 295046 | Other | NC | MAMSI |
| 80944 | Other | NC | MEDCOST |
Other names 1
- Preston Lentz
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29136 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1992805378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4529 JESSUP GROVE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27410",
"telephone_number": "336-605-0190",
"fax_number": "336-605-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4529 JESSUP GROVE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109407",
"telephone_number": "336-605-0190",
"fax_number": "336-605-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "ROBERT",
"middle_name": "PRESTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "29136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE",
"identifier": "469",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "51677",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951677",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1200328",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "295046",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "80944",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRESTON",
"last_name": "LENTZ",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.