Allen D Langeberg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2294 Issued in WI

Practice address

1345 W Towne Square Rd
Mequon, WI 53092-5047

Phone

(262) 242-1180

Fax

(262) 236-9079

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1386853018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-242-1180",
            "fax_number": "262-236-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-242-1180",
            "fax_number": "262-236-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEBERG",
        "first_name": "ALLEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33393200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2294",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Veins S. C.
• Angela M Lancaster, NP
• Ryan Landvatter
• Lisa Lang, MS, ATRL-BC
• Kylie Lange
• Lynne D Langlois, D.O.
• Nancy Yvonne Larson, D.D.S.
• Alyssa Joy Latin-Kasper, LPC-IT
• Amy Lynn Laubenstein, MOTR
• Donna Marie Laughrin, PHD

• Dentist in Mequon, WI
• Providers in Mequon, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.