MS. LAN-TU DANG HOLEM D.D.S.
NPI 1902892235
Dentist - General Practice in Mexico, MO

Q: What is Lan-tu Holem's NPI number?

The NPI number for Lan-tu Holem is 1902892235. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Lan-tu Holem'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 Lan-tu Holem was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 22, 2005PECOS Enrolled

340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2020, Feb 18, 2020, Jun 14, 2018 (3 updates tracked since 2018).

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About Ms. Lan-tu Dang Holem D.d.s. NPPES

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

MS. LAN-TU DANG HOLEM D.D.S. (NPI 1902892235) is an individual general practice provider in Mexico, Missouri, licensed in Missouri (014975) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902892235

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMS. LAN-TU DANG HOLEMCredential: D.D.S.

Location Address340 KELLEY PKWYMexico, MO 65265-3811

Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212

Phone(573) 582-1234

Fax(573) 582-1212

Sole ProprietorNo

Enumeration DateSeptember 22, 2005

Last NPPES UpdateMarch 10, 20203 updates tracked since enumeration

NPPES CertifiedMarch 10, 2020

✔ NPI 1902892235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 014975

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.

340 KELLEY PKWY, Mexico, MO 65265

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Other Identifiers 2

Medicaid403030430MO

Other1902892235MO · National Provider Identif

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Ms. Lan-tu Dang Holem D.d.s. 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 65265 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 20

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

NANCY J BUNGE M.D.

Pediatrics