Wyatt Austin Vanlangendonck, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7705 Issued in LA

Practice address

850 N Canal Blvd
Thibodaux, LA 70301-8076

Phone

(985) 447-4783

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1790673168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018076",
            "telephone_number": "985-447-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018076",
            "telephone_number": "985-447-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANGENDONCK",
        "first_name": "WYATT",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherryl Twiford, PA-C
• Rubie Valdivia, BS
• Madison Van Eck, PLPC, NCC, MA, BS
• Allen W. Vander, M.D.
• Alexis Vanderlass, LMSW
• Radha Vanukuri, MD
• Brittany Variet
• Chantrelle Deron Varnado-Johnson, PHD, LPC-S., NCC
• Venture Medical LLC
• Kelci Verdin, BS

• General Practice Dentistry in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.