Individual provider Active NPI

Christoph Immo Horst Langer, DDS

  • Endodontics
  • Bakersfield, CA
National Provider Identifier
1962450130
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60869 Issued in CA
Practice address
11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680
Phone
(661) 665-0080
Fax
(661) 665-0200
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS027034L PA
Endodontics 1223E0200X 60869 CA Primary

Addresses

Primary practice location

11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680

Mailing address

24408 Madrazo LN
Valencia, CA 91354-3091
Phone (253) 298-7198

Other practice location 1

19040 Soledad Canyon Road
Suite 260
Santa Clarita, CA 09180-9135
Phone (661) 251-4800

Other practice location 2

4360 E Main St Ste C
Ventura, CA 93003-8279
Phone (805) 644-6110

Other practice location 3

27730 McBean Pkwy
Valencia, CA 91354-1430
Phone (661) 296-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150831002085 CA Order and Referring Only - DentistPractitioner - Dentist 4981910379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027034LPAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Khazali Dental Corporation Past Accepting new patients
Phi Huynh and Bryan Watanabe Dental Corporation PastSince Jul 28, 2019 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1962450130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24408 MADRAZO LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913543091",
            "telephone_number": "253-298-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 STOCKDALE HWY STE 103",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113680",
            "telephone_number": "661-665-0080",
            "fax_number": "661-665-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19040 Soledad Canyon Road",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "091809135",
            "country_code": "US",
            "telephone_number": "661-251-4800",
            "fax_number": "661-251-4806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930038279",
            "country_code": "US",
            "telephone_number": "805-644-6110",
            "fax_number": "805-644-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27730 McBean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913541430",
            "country_code": "US",
            "telephone_number": "661-296-3300",
            "fax_number": "661-296-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGER",
        "first_name": "CHRISTOPH",
        "middle_name": "IMMO HORST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS027034L",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.