Dr. Juergen Langenbach, D.M.D., F.A.G.D.
Dentist, General Practice in San Diego, CA. Individual provider (NPI-1).
NPI number1962420596
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1962420596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juergen Langenbach
- Credential
- D.M.D., F.A.G.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50631 | CA | Yes |
Practice location
15717 Bernardo Heights PkwySan Diego, CA 92128-3155
Phone 858-451-4413 · Fax 858-451-2916
Mailing address
15717 Bernardo Heights PkwySan Diego, CA 92128-3155
Phone 858-451-3110 · Fax 858-451-2916
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