Organization Active NPI

Lange Family Dental Care

  • General Practice Dentistry
  • Muskegon, MI
National Provider Identifier
1255942710
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LANGE FAMILY DENTAL CARE
Practice address
2320 Glade St
Muskegon, MI 49444-1317
Phone
(231) 733-7708
Fax
(231) 733-0631
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Anna M Hughes
Title
Insurance
Phone
(231) 733-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2320 Glade St
Muskegon, MI 49444-1317

Mailing address

2320 Glade St
Muskegon, MI 49444-1317
Phone (231) 733-7708

Other identifiers 1

IdentifierTypeStateIssuer
1467517607MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL langefamilydentalcare@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

2320 Glade St
Muskegon, MI 49444
Phone (231) 733-7708

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1255942710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441317",
            "telephone_number": "231-733-7708",
            "fax_number": "231-733-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441317",
            "telephone_number": "231-733-7708",
            "fax_number": "231-733-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "231-733-7707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467517607",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "langefamilydentalcare@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2320 Glade St",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.