Organization Active NPI

WSL Dental Management LLC

Doing business as Smith and Langkau Family Dentistry

  • Dental Clinic/Center
  • Tipton, IN
National Provider Identifier
1932796885
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WSL DENTAL MANAGEMENT LLC
Doing business as
Smith and Langkau Family Dentistry
Practice address
114 4TH St
Tipton, IN 46072-1851
Phone
(765) 675-2432
NPI assigned
Dec 27, 2020
Last updated
Dec 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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

Authorized official

Name
Dr. Walter Samuel Langkau, DDSNPI 1023440948
Title
Owner
Phone
(715) 482-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

114 4TH St
Tipton, IN 46072-1851

Mailing address

3843 Idlewind Dr
Westfield, IN 46074-6315
Phone (715) 482-2323

Other names 1

  • Smith and Langkau Family Dentistry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224000721 IN Part B Supplier - Clinic/Group Practice 5799190708 Receives reassigned benefits from 1 practitioner
Practice locations: Tipton, IN

National Provider Directory

National Provider Directory

Locations

114 4th St
Tipton, IN 46072
Phone (765) 675-2432

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1932796885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 IDLEWIND DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460746315",
            "telephone_number": "715-482-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 4TH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721851",
            "telephone_number": "765-675-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSL DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "LANGKAU",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-482-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith and Langkau Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tipton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.