Timothy Corrigan Lang, DDS, MD, PHD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN14085 Issued in FL

Practice address

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

Phone

(321) 777-2166

Fax

(321) 777-2191

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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 and National Provider Directory roles.

• Timothy C. Lang, DDS, MD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Harbour Beach, FL
  • NPI 1104032275
  NPD Authorized official
• William Bell, DMD, MD, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Harbour Beach, FL
  • NPI 1740807361
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1306832431",
    "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": {
        "last_name": "LANG",
        "first_name": "TIMOTHY",
        "middle_name": "CORRIGAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME0068501",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN14085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "791334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Michelle Kimbrell, OT/L
• Elizabeth Teresa Kondracka, MD
• Monica Kostro, DDS
• Jayna Lacko
• Edward V Laibl, OD
• Laylah Lara, PTA
• Leann J Mandese OD PA
• Mary Lebeau
• Julia Ann Lee
• Edgardo A Leiva Cardona, DDS

• 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 Jul 20, 2020; 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.

Verify at the official NPI Registry.