Organization Active NPI

J. Monty Lang, DDS, PA

  • General Practice Dentistry
  • Philadelphia, MS
National Provider Identifier
1659586287
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2736-93 Issued in MS
Legal business name
J. MONTY LANG, DDS, PA
Practice address
913 Holland Ave
Philadelphia, MS 39350-2115
Phone
(601) 656-7410
Fax
(601) 656-5052
NPI assigned
May 14, 2007
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Michelle Lang
Title
Treasurer
Phone
(601) 656-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2736-93 MS Primary

Addresses

Primary practice location

913 Holland Ave
Philadelphia, MS 39350-2115

Mailing address

PO Box 389
Philadelphia, MS 39350-0389
Phone (601) 656-7410

National Provider Directory

National Provider Directory

Locations

913 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-7410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1659586287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393500389",
            "telephone_number": "601-656-7410",
            "fax_number": "601-656-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502115",
            "telephone_number": "601-656-7410",
            "fax_number": "601-656-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MONTY LANG, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "601-656-7410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2736-93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.