Individual provider Active NPI

Douglas Graham Langell, DDS

  • Dentist
  • La Canada, CA
National Provider Identifier
1306851795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035044 Issued in CA
Practice address
1370 Foothill Blvd
Ste 101
Lacanada, CA 91011
Phone
(818) 952-6193
Fax
(818) 952-6189
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 035044 CA Primary

Addresses

Primary practice location

1370 Foothill Blvd
Ste 101
Lacanada, CA 91011

Mailing address

1370 Foothill Blvd
Ste 101
Lacanada, CA 91011
Phone (818) 952-6193

Other identifiers 3

IdentifierTypeStateIssuer
152001OtherCADELTA PHI
0459OtherCASMILE SAVER
5101OtherCAPACIFIC UNION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
035044CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306851795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "STE 101",
            "city": "LACANADA",
            "state": "CA",
            "postal_code": "91011",
            "telephone_number": "818-952-6193",
            "fax_number": "818-952-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "STE 101",
            "city": "LACANADA",
            "state": "CA",
            "postal_code": "91011",
            "telephone_number": "818-952-6193",
            "fax_number": "818-952-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGELL",
        "first_name": "DOUGLAS",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "035044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA PHI",
            "identifier": "152001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMILE SAVER",
            "identifier": "0459",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION",
            "identifier": "5101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.