Individual provider Active NPI

Thomas G Langkammer, D.D.S.

  • Endodontics
  • Appleton, WI
National Provider Identifier
1902015258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2507 Issued in WI
Practice address
1100 N Lynndale Dr
Appleton, WI 54914-3011
Phone
(920) 731-4484
Fax
(920) 731-2889
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2507 WI Primary

Addresses

Primary practice location

1100 N Lynndale Dr
Appleton, WI 54914-3011

Mailing address

1100 N Lynndale Dr
Appleton, WI 54914-3011
Phone (920) 731-4484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150506002329 WI Order and Referring Only - DentistPractitioner - Dentist 8022337419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vna Health Systems Inc Past Accepting new patients
Valley Endodontics LTD Endodontics Past 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902015258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N LYNNDALE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143011",
            "telephone_number": "920-731-4484",
            "fax_number": "920-731-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LYNNDALE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143011",
            "telephone_number": "920-731-4484",
            "fax_number": "920-731-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGKAMMER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "2507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.