Mark Albert Lange, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012522 Issued in MI

Practice address

2320 Glade St
Muskegon, MI 49444-1317

Phone

(231) 733-7708

NPI assigned

Dec 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

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.

• Lange Family Dental Care

  • General Practice Dentistry
  • Muskegon, MI
  • NPI 1255942710
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467517607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 LAKE POINT DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414690",
            "telephone_number": "231-733-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441317",
            "telephone_number": "231-733-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MARK",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4054547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lang, DO
• Christina Guadalupe Rose Lang, MD
• Melissa Lang, HHA
• Lange Family Dental Care
• Jessica Lange
• Amber Marie Langlois, RN
• Audra Langlois, PAC
• Christy Langlois
• Jack Michael Langlois, RN
• Rachel Langlois

• General Practice Dentistry in Muskegon, MI
• Providers in Muskegon, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.