Active NPI
Melissa Sue Lang, D.D.S., M.S.
- Periodontics
- Omaha, NE
National Provider Identifier
1982802096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6493
- Practice address
- 3635 N 129TH St
Omaha, NE 68164-5211 - Phone
- (402) 493-9429
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6493 | NE | Primary |
Addresses
Primary practice location
3635 N 129TH St
Omaha, NE 68164-5211
Mailing address
3635 N 129TH St
Omaha, NE 68164-5211
Phone (402) 493-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 28, 2020 through Oct 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6493 | NE | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1982802096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645211",
"telephone_number": "402-493-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645211",
"telephone_number": "402-493-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NE",
"license": "6493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.