Active NPI
Jennifer Thomasina Langel, RDH
- Dental Hygienist
- Red Feather Lakes, CO
National Provider Identifier
1083719298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2963
- Practice address
- 64 Main St
Red Feather Lakes, CO 80545 - Phone
- (970) 881-2007
- Fax
- (970) 416-1072
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2963 | CO | Primary |
Addresses
Primary practice location
64 Main St
Red Feather Lakes, CO 80545
Mailing address
PO Box 43
64 Main St Red Feather Dental Care
Red Feather Lakes, CO 80545
Phone (970) 881-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24070343 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2963 | CO | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083719298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"address_2": "64 MAIN ST RED FEATHER DENTAL CARE",
"city": "RED FEATHER LAKES",
"state": "CO",
"postal_code": "80545",
"telephone_number": "970-881-2007",
"fax_number": "970-416-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN ST",
"city": "RED FEATHER LAKES",
"state": "CO",
"postal_code": "80545",
"telephone_number": "970-881-2007",
"fax_number": "970-416-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGEL",
"first_name": "JENNIFER",
"middle_name": "THOMASINA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "2963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24070343",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Feather Lakes, CO
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.