Active NPI
Rebecca Lang, D.M.D.
- Dentist
- Oceanside, CA
National Provider Identifier
1114232022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60494
- Practice address
- 815 College Blvd Ste 106
Oceanside, CA 92057-6261 - Phone
- (760) 414-9200
- NPI assigned
- Aug 16, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 60494 | CA | Primary |
Addresses
Primary practice location
815 College Blvd Ste 106
Oceanside, CA 92057-6261
Mailing address
1369 Sky Ridge CT
San Marcos, CA 92078-1053
Phone (601) 613-0961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60494 | CA | MD | Physician Assistant |
Interoperability endpoints
- rlang@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1114232022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 SKY RIDGE CT",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781053",
"telephone_number": "601-613-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COLLEGE BLVD STE 106",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920576261",
"telephone_number": "760-414-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "REBECCA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.