Individual provider Active NPI

Constantina Lalangas, D.D.S

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1578828877
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28048 Issued in TX
Practice address
105 Wildwood Dr
Suite 216
Georgetown, TX 78633-1343
Phone
(512) 942-6729
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28048 TX Primary

Addresses

Primary practice location

105 Wildwood Dr
Suite 216
Georgetown, TX 78633-1343

Mailing address

105 Wildwood Dr
Suite 216
Georgetown, TX 78633-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151222000681 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608177332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28048TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC General Practice PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1578828877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR",
            "address_2": "SUITE 216",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR",
            "address_2": "SUITE 216",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331343",
            "telephone_number": "512-942-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALANGAS",
        "first_name": "CONSTANTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.