Individual provider Active NPI

Walter Samuel Langkau, D.D.S.

  • Dentist
  • Tipton, IN
National Provider Identifier
1023440948
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012907A Issued in IN
Practice address
114 4TH St
Tipton, IN 46072-1851
Phone
(765) 675-2432
NPI assigned
Aug 1, 2013
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012907A IN Primary

Addresses

Primary practice location

114 4TH St
Tipton, IN 46072-1851

Mailing address

PO Box 264
Tipton, IN 46072-0264
Phone (765) 675-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20210224000813 IN Practitioner - Dentist 6608281613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WSL Dental Management LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

114 4th St
Tipton, IN 46072
Phone (765) 675-2432

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1023440948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460720264",
            "telephone_number": "765-675-2432",
            "fax_number": "765-675-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 4TH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721851",
            "telephone_number": "765-675-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGKAU",
        "first_name": "WALTER",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012907A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipton, IN

Sources for this page

Verify at the official NPI Registry.