Cory Bruce Langberg

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5362 W Prairie Ave
Post Falls, ID 83854-5912

Phone

(208) 786-2470

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1114585163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3212",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773212",
            "telephone_number": "208-786-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 W PRAIRIE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545912",
            "telephone_number": "208-786-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBERG",
        "first_name": "CORY",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ID",
            "license": "RCT47478",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "ID",
            "license": "RCT47478",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Laisy, PA
• Christina Michelle Cuzick Lake
• Destiny Noelle Lake, MASSAGE THERAPIST
• Misty Lake, LMT
• Ashley Nicole Lammers, PA-C
• Elizabeth Anne Latoszek, LPN, WCC
• Sarah Layman, BS, BIS
• Hannah Rose Leake
• Brenden Leaming, PT, DPT
• Learning Garden Developmental Preschool

• Non-emergency Medical Transport (VAN) in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.