TANNER LANGVARDT MD
NPI 1699470948
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 04, 2023PECOS Enrolled

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2023, Apr 4, 2023 (2 updates tracked since 2023).

On this page

About Tanner Langvardt Md NPPES

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

TANNER LANGVARDT MD (NPI 1699470948) is an individual student in an organized health care education/training program in Temple, Texas, licensed in Texas (BP10083447) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699470948

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTANNER LANGVARDTCredential: MD

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing Address2401 S 31st StTemple, TX 76508-0001 · (254) 724-2111

Phone(254) 724-2111

Sole ProprietorNo

Enumeration DateApril 4, 2023

Last NPPES UpdateApril 12, 20232 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1699470948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10083447

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgeryTaxonomy 208600000X · License BP10083447 (TX)

2401 S 31ST ST, Temple, TX 76508

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Langvardt Md 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.