Andrew Langston, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN21121 Issued in FL

Practice address

1371 Bedford Dr
Melbourne, FL 32940-1975

Phone

(321) 242-2100

Fax

(321) 242-6626

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Interoperability endpoints

• Direct secure messaging: alangston71506@epicdirect.hf.org

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.

• Andrew Langston DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Melbourne, FL
  • NPI 1689146839
  NPD (past)
• Facial Surgery Center PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Melbourne, FL
  • NPI 1912048240
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1588959514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 BEDFORD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401975",
            "telephone_number": "321-242-2100",
            "fax_number": "321-242-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 BEDFORD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401975",
            "telephone_number": "321-242-2100",
            "fax_number": "321-242-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN21121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Jackson Landry, MD
• Marlene Laney, LMT
• Jacqueline Lanford
• Angelina Lang
• Casey White Langel, PA
• Alan Cristopher Lanken
• Grainger S Lanneau Jr., MD
• Jaclyn Bourgeois Lapinski, PHARM D
• Michel C Lapointe, D.D.S.
• Dominique Larkin

• Oral and Maxillofacial Surgery (Dentist) in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.