Kristina Lynne Langworthy, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58104 Issued in CA

Practice address

2050 Judah St
San Francisco, CA 94122-1531

Phone

(415) 681-5437

Fax

(415) 753-5437

NPI assigned

Jul 24, 2008

Last updated

Nov 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Azama and Wong Dental Corporation

  dba KidSmiles Pediatric Dentistry

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1093561706
  NPD
• Salinas Dental Group

  • Dentist
  • Houston, TX
  • NPI 1699951400
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1104081512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221531",
            "telephone_number": "415-652-1450",
            "fax_number": "415-753-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221531",
            "telephone_number": "415-681-5437",
            "fax_number": "415-753-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGWORTHY",
        "first_name": "KRISTINA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Langmore, SLP
• Grace Langner
• Danny Ewell Langston, N.P.
• Robert H. Langston, M.D.
• Mary Ann Langvardt, RD
• David R Lanham
• Manesha Lankachandra, MD
• Eleanor Frances Lannen, RN, MS, CNP
• Jennifer Diane Lanning
• Kaylyn Nicole Lanning

• Pediatric Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.