Individual provider Active NPI

Sarah Crumbley Langston, D.M.D.

  • Dentist
  • Jackson, MS
National Provider Identifier
1801025374
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3524-09 Issued in MS
Practice address
11 Lakeland Cir
Jackson, MS 39216-5006
Phone
(601) 981-8166
Fax
(601) 981-8166
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3524-09 MS Primary

Addresses

Primary practice location

11 Lakeland Cir
Jackson, MS 39216-5006

Mailing address

11 Lakeland Cir
Jackson, MS 39216-5006
Phone (601) 981-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20231214001049 MS Order and Referring Only - DentistPractitioner - Dentist 9032420112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3524-09MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Dental Care PA Past Accepting new patients
Malley Dental, PLLC Dentist PastSince Apr 23, 2023 Accepting new patients

Organizations & group practices 2

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1801025374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAKELAND CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165006",
            "telephone_number": "601-981-8166",
            "fax_number": "601-981-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAKELAND CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165006",
            "telephone_number": "601-981-8166",
            "fax_number": "601-981-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "SARAH",
        "middle_name": "CRUMBLEY",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3524-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.