Active NPI
J. Monty Lang, DDS, PA
- General Practice Dentistry
- Philadelphia, MS
National Provider Identifier
1659586287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2736-93
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Philadelphia, MS
- NPI 1780899393
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.