Individual provider Active NPI

Houman Langroodi, DDS

  • Dentist
  • Upland, CA
National Provider Identifier
1083884423
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054012-1 Issued in NY
Practice address
99 N San Antonio Ave Ste 220
Upland, CA 91786-4578
Phone
(310) 993-2798
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054012-1 NY Primary

Addresses

Primary practice location

99 N San Antonio Ave Ste 220
Upland, CA 91786-4578

Mailing address

99 N San Antonio Ave Ste 220
Upland, CA 91786-4578
Phone (310) 993-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160427001425 NY Order and Referring Only - DentistPractitioner - Dentist 1052610946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054012-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Langroodi Dental Professional Corporation Current Accepting new patients
Langroodi Upland Dental P.C. Current Accepting new patients

Locations

99 N San Antonio Ave
Ste 220
Upland, CA 91786
Phone (310) 993-2798

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1083884423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864578",
            "telephone_number": "310-993-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864578",
            "telephone_number": "310-993-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGROODI",
        "first_name": "HOUMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054012-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.