Holliston Ann Langendorfer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38734 Issued in TX

Practice address

5725 Williams Dr Ste 101
Georgetown, TX 78633-2216

Phone

(512) 863-7777

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renken Dentistry of Texas PLLC

  • Dental Clinic/Center
  • Georgetown, TX
  • NPI 1487173266
  NPD
• Renken Dentistry of Texas PLLC

  • General Practice Dentistry
  • Leander, TX
  • NPI 1922527787
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1952035362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W KOENIG LN APT 375",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561450",
            "telephone_number": "203-407-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 WILLIAMS DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332216",
            "telephone_number": "512-863-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENDORFER",
        "first_name": "HOLLISTON",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lambert, S.L.P.
• Meghan Landry, BCBA
• Jayla Rochelle Lane
• Jenna Erin Lane, SLPA
• Kenna Lange
• Zachary Edward Lanning, PT
• Xandrea Elizabeth Lara
• Rupal Larkins
• Aletha Laterza
• Lauren McKay, LPC, PLLC

• General Practice Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.