Individual provider Active NPI

Dante Oliver Langston, PA

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1669464038
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 862 Issued in CO
Practice address
2312 N Nevada Ave
Suite 305
Colorado Springs, CO 80907-5302
Phone
(719) 634-7246
Fax
(719) 634-4042
NPI assigned
Aug 22, 2005
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 862 CO Primary

Addresses

Primary practice location

2312 N Nevada Ave
Suite 305
Colorado Springs, CO 80907-5302

Mailing address

2312 N Nevada Ave
Suite 305
Colorado Springs, CO 80907-5302
Phone (719) 634-7246

Other identifiers 1

IdentifierTypeStateIssuer
P00213340OtherNCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 862COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dexter D Koons MD PC Past 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1669464038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE",
            "address_2": "SUITE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075302",
            "telephone_number": "719-634-7246",
            "fax_number": "719-634-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE",
            "address_2": "SUITE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075302",
            "telephone_number": "719-634-7246",
            "fax_number": "719-634-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "DANTE",
        "middle_name": "OLIVER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA 862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00213340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.