Active NPI
John Joseph Lang III, MD
- Family Medicine Physician
- Bartlett, TN
National Provider Identifier
1891970984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29031
- Practice address
- 3805 Thistle Ridge LN
Bartlett, TN 38135-7420 - Phone
- (901) 384-3652
- Fax
- (901) 384-3652
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29031 | TN | Primary |
Addresses
Primary practice location
3805 Thistle Ridge LN
Bartlett, TN 38135-7420
Mailing address
3805 Thistle Ridge LN
Bartlett, TN 38135-7420
Phone (901) 384-3652
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29031 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248566400000",
"number": "1891970984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 THISTLE RIDGE LN",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381357420",
"telephone_number": "901-384-3652",
"fax_number": "901-384-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 THISTLE RIDGE LN",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381357420",
"telephone_number": "901-384-3652",
"fax_number": "901-384-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2009-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "29031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.