NPIMap

Organization Active NPI

Langenberg PLLC

  • Internal Medicine Physician
  • Livingston, TN
National Provider Identifier
1548466097
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35093 Issued in TN
Legal business name
LANGENBERG PLLC
Doing business as
Mark T. Langenberg, M.D.
Practice address
500 W Main St
Livingston, TN 38570-1718
Phone
(931) 823-5681
Fax
(931) 823-8203
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Mark Taylor Langenberg, M.D.
Title
Owner
Phone
(931) 823-5681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35093 TN Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 35093 TN

Addresses

Primary practice location

500 W Main St
Livingston, TN 38570-1718

Mailing address

P. O. Box 609
Livingston, TN 38570
Phone (931) 823-5681

Other identifiers 1

IdentifierTypeStateIssuer
3379686MedicaidTN

Other names 1

  • Mark T. Langenberg, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1548466097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 609",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-823-5681",
            "fax_number": "931-823-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701718",
            "telephone_number": "931-823-5681",
            "fax_number": "931-823-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGENBERG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "LANGENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-823-5681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35093",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "35093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3379686",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark T. Langenberg, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.