NPIMap

Organization Active NPI

DRS Langwith Hull & Roush PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnston, IA
National Provider Identifier
1306851159
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
06391 Issued in IA
Legal business name
DRS LANGWITH HULL & ROUSH PC
Practice address
6105 NW 86TH Street
Johnston, IA 50131-2240
Phone
(515) 253-0911
Fax
(515) 331-6652
NPI assigned
Jul 30, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Diana K Hennick
Title
Office Manager
Phone
(515) 253-0911

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 06371 IA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 07553 IA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 07513 IA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 06391 IA Primary

Addresses

Primary practice location

6105 NW 86TH Street
Johnston, IA 50131-2240

Mailing address

6105 NW 86TH Street
Johnston, IA 50131-2240
Phone (515) 253-0911

Other names 1

  • Drs Langwith Hull Bernhardt & Smith PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1306851159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 NW 86TH STREET",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312240",
            "telephone_number": "515-253-0911",
            "fax_number": "515-331-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 NW 86TH STREET",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312240",
            "telephone_number": "515-253-0911",
            "fax_number": "515-331-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LANGWITH HULL & ROUSH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HENNICK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-253-0911"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "06371",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "07553",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "07513",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "06391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Langwith Hull Bernhardt & Smith PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.