Active NPI
Alison Landgraf, DMD
- Dentist
- Terre Haute, IN
National Provider Identifier
1013534486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 121014619A
- Practice address
- 1128 Wabash Ave
Terre Haute, IN 47807-3212 - Phone
- (812) 234-2488
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0133961 | VT | |
| Dentist | 122300000X | 121014619A | IN | Primary |
Addresses
Primary practice location
1128 Wabash Ave
Terre Haute, IN 47807-3212
Mailing address
1242 Otis Dr
Niles, MI 49120-8928
Phone (574) 807-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121014619A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Dentist | Current | Accepting new patients |
Locations
69 Allen St
Ste 10
Rutland, VT 05701
Phone (802) 774-5050
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Rutland, VT
- NPI 1437364759
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1013534486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 OTIS DR",
"city": "NILES",
"state": "MI",
"postal_code": "491208928",
"telephone_number": "574-807-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478073212",
"telephone_number": "812-234-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDGRAF",
"first_name": "ALISON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0133961",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "121014619A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.