Timothy C. Lang, DDS, MD, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

ME0068501 Issued in FL

Legal business name

TIMOTHY C. LANG, DDS, MD, PA

Practice address

2030 S Patrick Dr
Suite 1
Indian Harbour Beach, FL 32937-4400

Phone

(321) 777-2166

Fax

(321) 777-2191

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Corrigan Lang, DDS, MDNPI 1306832431

Title

Ceo

Phone

(321) 777-2166

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Corrigan Lang, DDS, MD, PHD

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Harbour Beach, FL
  • NPI 1306832431
  NPD Authorized official
• William Harrison Bell IV, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Harbour Beach, FL
  • NPI 1588939086
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1104032275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "address_2": "SUITE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-777-2166",
            "fax_number": "321-777-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "address_2": "SUITE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-777-2166",
            "fax_number": "321-777-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. LANG, DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CORRIGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-777-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME0068501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "791334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253999300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS FACILITY NUM",
            "identifier": "995474",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenzie Symeon, PHARMD
• Elizabeth Taylor, COTA/L
• Christopher Clarence Thessen, MD
• Luann Kay Thompson, BSW
• Theresa Lynn Thompson, RMHCI
• Inez Maria Tinsley-Dalton, M.D.
• Kim Ann Triebell, PHARMD
• Nicole Kristine Trio, PA-C
• Crystal Turman, LCSW
• Adrian Elaine Tuttle, FNP

• Oral and Maxillofacial Surgery (Dentist) in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.