Individual provider Active NPI

Robert Preston Langston, FOSTER CARE PROVIDER

  • Lodging Provider
  • Kalispell, MT
National Provider Identifier
1073643060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
0025821-001 Issued in MT
Practice address
1467 Hwy. 2 W.
Kalispell, MT 59901-3415
Phone
(406) 257-4999
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X 0025821-001 MT Primary

Addresses

Primary practice location

1467 Hwy. 2 W.
Kalispell, MT 59901-3415

Mailing address

1467 Hwy. 2 W.
Kalispell, MT 59901-3415
Phone (406) 257-4999

Other identifiers 1

IdentifierTypeStateIssuer
0621741MedicaidMT

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

LicenseStateTypeSpecialty
0025821-001MTMDLodging Provider

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073643060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 HWY. 2 W.",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013415",
            "telephone_number": "406-257-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 HWY. 2 W.",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013415",
            "telephone_number": "406-257-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "ROBERT",
        "middle_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "FOSTER CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "MT",
            "license": "0025821-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621741",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.