Individual provider Active NPI

Dianna Lang, M.D.

  • Pediatrics Physician
  • Pasco, WA
National Provider Identifier
1770967390
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60938703 Issued in WA
Practice address
9425 Sandifur Pkwy Ste 203
Pasco, WA 99301-8083
Phone
(646) 209-1681
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD60938703 WA Primary

Addresses

Primary practice location

9425 Sandifur Pkwy Ste 203
Pasco, WA 99301-8083

Mailing address

9425 Sandifur Pkwy Ste 203
Pasco, WA 99301-8083

Other identifiers 1

IdentifierTypeStateIssuer
2136564MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827003838 WA Practitioner - Pediatric Medicine 0749518819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60938703WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nest Children'S Clinic PLLC Pediatrics CurrentSince Jun 23, 2024 Accepting new patients
Lourdes Hospital LLC CurrentSince Sep 16, 2019 Accepting new patients
Lourdes Hospital LLC Pediatrics CurrentSince Sep 16, 2019 Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

5304 Road 68
Pasco, WA 99301
Phone (509) 543-9300

9425 Sandifur Pkwy
Ste 203
Pasco, WA 99301
Phone (646) 209-1681

7425 Wrigley Dr
Ste 101
Pasco, WA 99301
Phone (509) 416-8888

7425 Wrigley Dr
Pasco, WA 99301
Phone (509) 416-8888

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1770967390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 SANDIFUR PKWY STE 203",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SANDIFUR PKWY STE 203",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018083",
            "telephone_number": "646-209-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "DIANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60938703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136564",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.