Active NPI
Robert L Langston, CRNA
- Certified Registered Nurse Anesthetist
- West Valley City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 212994-4406
- Practice address
- 3460 Pioneer Pkwy
West Valley City, UT 84120-2049 - Phone
- (801) 993-9526
- Fax
- (801) 733-5872
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 212994-4406 | UT | Primary |
Addresses
Primary practice location
3460 Pioneer Pkwy
West Valley City, UT 84120-2049
Mailing address
65 W 850 S
Centerville, UT 84014-2198
Phone (801) 733-2155
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24053 | Other | UT | PEHP |
| PR00660 | Other | UT | MOLINA |
| 004373400 | Medicaid | ID | |
| 117819900 | Medicaid | WY | |
| 350411 | Other | UT | DESERET MUTUAL |
| 53000 | Other | UT | HEALTHY U |
| 870532396LA1 | Other | UT | EDUCATORS MUTUAL |
| 190400800 | Other | UT | US DEPT OF LABOR |
| QM0000023694 | Other | UT | ALTIUS |
| 2000012 | Other | UT | UNITED HEALTHCARE |
| 200611540A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212994-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
96 E Kimballs Ln
Ste 100
Draper, UT 84020
Phone (801) 233-9300
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
1820 Sidewinder Dr
Park City, UT 84060
Phone (435) 647-9100
65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352
5450 S Green St
#B
Salt Lake City, UT 84123
Phone (801) 290-6060
6322 S 3000 E
Ste 170
Salt Lake Cty, UT 84121
Phone (801) 513-3223
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
- NPI 1548665417
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1366557407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 W 850 S",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840142198",
"telephone_number": "801-733-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 PIONEER PKWY",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202049",
"telephone_number": "801-993-9526",
"fax_number": "801-733-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "212994-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "24053",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PR00660",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004373400",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117819900",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "350411",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "53000",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870532396LA1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "190400800",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000023694",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2000012",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200611540A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.