Thomas H Lange DDS Fagd PC

Primary specialty

DentistTaxonomy code 122300000X

License

48749 Issued in CA

Legal business name

THOMAS H LANGE DDS FAGD PC

Practice address

8950 Villa la Jolla Drive
Ste A105
La Jolla, CA 92037

Phone

(858) 452-5520

Fax

(858) 452-5525

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Hoffman Lange, DDS

Title

Dentist

Phone

(858) 452-5520

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex S Kim, DMD,MAGD,FICOI

  • Dentist
  • San Diego, CA
  • NPI 1477951721
  NPD (past)
• Coleman D Meadows, D.D.S.

  • Dentist
  • La Jolla, CA
  • NPI 1679905764
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447260211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DRIVE",
            "address_2": "STE A105",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-452-5520",
            "fax_number": "858-452-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DRIVE",
            "address_2": "STE A105",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-452-5520",
            "fax_number": "858-452-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H LANGE DDS FAGD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HOFFMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-452-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24132",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The California Institute for Aesthetic Medicine
• The Cognitive Therapy Institute, a Psychological Corporation
• The Physical Therapy Clinic at la Jolla, PC
• The Wellness Institute
• Sushrut Sujan Thiruvengadam, M.D.
• Thomas H. Gibson, PH.D. a Psychological Corporation
• Jeffrey Paul Thomas, LCSW
• Karin Elizabeth Thomas, MD
• John Scott Thompson, O.D.
• Keith Edward Thompson, M.D.

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.