Jacob Thompson Langston, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10512 Issued in TN

Practice address

1461 Munford Ave
Munford, TN 38058-6743

Phone

(901) 837-6868

NPI assigned

Jun 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Dental of Munford PLLC

  • General Practice Dentistry
  • Munford, TN
  • NPI 1558814178
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639608607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 MUNFORD AVE",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586743",
            "telephone_number": "901-837-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 MUNFORD AVE",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586743",
            "telephone_number": "901-837-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "JACOB",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellie Reaves Hendren, APRN-BC
• Mary Gillihan Higdon, DDS
• Walter Johnson, DC
• Andrea Michelle Jossell, D.C.
• Khushe Inc (Munford Pharmacy)
• James Lowry, DC
• May Medical Group P.C.
• Jeffery A May, MD
• James Peter McLemore IV
• William Stanley McMahon, MSN, APRN, FNP-C

• Dentist in Munford, TN
• Providers in Munford, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.