Healthcare Provider Details

I. General information

NPI: 1447495387
Provider Name (Legal Business Name): JOSHUA S LANGERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 W 74TH ST STE 200
MERRIAM KS
66204-2210
US

IV. Provider business mailing address

7450 KESSLER ST STE 201
SHAWNEE MISSION KS
66204-2553
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-9200
  • Fax: 913-632-9209
Mailing address:
  • Phone: 913-632-9200
  • Fax: 913-632-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-38715
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2016008718
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: