Eric Langellier, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2112841 Issued in MI

Practice address

1621 44TH St SW
Wyoming, MI 49509-4387

Phone

(616) 532-9003

Fax

(616) 532-7197

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sleep Well West Michigan

  • Customized Equipment (DME)
  • Wyoming, MI
  • NPI 1538636915
  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1023185253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003",
            "fax_number": "616-532-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003",
            "fax_number": "616-532-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGELLIER",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "2901020590",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2112841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Lancaster
• Camryn Lane
• Doris Nyaradzai Lang, C.O.T.A.
• Allyson Lange, PA
• Kortney Langeland, RN
• Cody Lanman, DO
• Michelle Lanore, OTR/L
• Rachel Lantigua
• Veronica Lantz, OTR/L
• Peter Tyler Lapen, D.O.

• General Practice Dentistry in Wyoming, MI
• Providers in Wyoming, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.