Individual provider Active NPI

Dave Lester Langholff, D.C.

  • Orthopedic Chiropractor
  • Fond Du Lac, WI
National Provider Identifier
1952374118
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1671 Issued in WI
Practice address
355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone
(920) 922-9229
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1671 WI Primary

Addresses

Primary practice location

355 N Peters Ave
Fond Du Lac, WI 54935-8258

Mailing address

355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone (920) 922-9229

Other identifiers 2

IdentifierTypeStateIssuer
38850300MedicaidWI
350001920OtherWIRAILROAD MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1671WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Wound Care Center LLC CurrentSince Jan 15, 2022 Accepting new patients

Locations

355 N Peters Ave
Ste 3
Fond du Lac, WI 54935
Phone (920) 539-5400

Organizations & group practices 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1952374118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-922-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-922-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGHOLFF",
        "first_name": "DAVE",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38850300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350001920",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.