DR. SHANE MICHAEL LANGOLF DMD
NPI 1194716670
Dentist - General Practice in Marysville, MI

Q: What is Shane Langolf's NPI number?

The NPI number for Shane Langolf is 1194716670. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Shane Langolf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shane Langolf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2005PECOS Enrolled

1616 GRATIOT BLVD, MARYSVILLE, MI 48040(810) 364-7601(810) 364-9010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shane Michael Langolf Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE MICHAEL LANGOLF DMD (NPI 1194716670) is an individual general practice provider in Marysville, Michigan, licensed in Michigan (2901019292) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194716670

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHANE MICHAEL LANGOLFCredential: DMD

Location Address1616 GRATIOT BLVDMarysville, MI 48040-1181

Mailing Address1616 Gratiot BlvdMarysville, MI 48040-1181 · (810) 364-7601 · Fax (810) 364-9010

Phone(810) 364-7601

Fax(810) 364-9010

Sole ProprietorYes

Enumeration DateNovember 2, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194716670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901019292

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1616 GRATIOT BLVD, Marysville, MI 48040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Michael Langolf Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE WATER DENTAL GROUP MARYSVILLE PC

Dentist (General Practice)

1616 GRATIOT BLVD
MARYVILLE, MI 48040

St. Clair County (810) 364-7601

PGS D-PROVIDER DENTISTRY PLLC

Dentist (General Practice)

1616 GRATIOT BLVD
MARYSVILLE, MI 48040

St. Clair County (586) 727-3815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Langolf's NPI number?

The NPI number for Shane Langolf is 1194716670. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Shane Langolf located?

Shane Langolf practices at 1616 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 364-7601.

What is Shane Langolf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shane Langolf enrolled in Medicare?

Yes. Shane Langolf is registered in the Medicare PECOS enrollment system.

What insurance does Shane Langolf accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Montana and 6 other insurers list Shane Langolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Langolf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.