Individual provider Active NPI

Rudolph Dean Lang Jr., DDS

  • Dentist
  • Goodlettsville, TN
National Provider Identifier
1932853538
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12289 Issued in TN
Practice address
318 Northcreek Blvd Ste 400
Goodlettsville, TN 37072-1935
Phone
(615) 239-4000
NPI assigned
Feb 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12289 TN Primary

Addresses

Primary practice location

318 Northcreek Blvd Ste 400
Goodlettsville, TN 37072-1935

Mailing address

318 Northcreek Blvd Ste 400
Goodlettsville, TN 37072-1935
Phone (615) 239-4000

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

State licenses

LicenseStateTypeSpecialty
12289TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rudolph Dean Lang, PLLC Dentist CurrentSince Sep 24, 2023 Accepting new patients
Northcreek Dental PastSince Sep 24, 2023 Accepting new patients

Locations

318 Northcreek Blvd
Ste 400
Goodlettsville, TN 37072
Phone (615) 239-4000

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1932853538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 NORTHCREEK BLVD STE 400",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721935",
            "telephone_number": "615-239-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NORTHCREEK BLVD STE 400",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721935",
            "telephone_number": "615-239-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "RUDOLPH",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.