Active NPI
Robert J Landsman, DDS
- General Practice Dentistry
- Bishopville, MD
National Provider Identifier
1053405159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- MD4486
- Practice address
- 10742 Piney Island Dr
Bishopville, MD 21813-1452 - Phone
- (410) 352-5538
- Fax
- (410) 352-5536
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | MD4486 | MD | Primary |
Addresses
Primary practice location
10742 Piney Island Dr
Bishopville, MD 21813-1452
Mailing address
10742 Piney Island Dr
Bishopville, MD 21813-1452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4486 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1053405159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10742 PINEY ISLAND DR",
"city": "BISHOPVILLE",
"state": "MD",
"postal_code": "218131452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10742 PINEY ISLAND DR",
"city": "BISHOPVILLE",
"state": "MD",
"postal_code": "218131452",
"telephone_number": "410-352-5538",
"fax_number": "410-352-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSMAN",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "MD4486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishopville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.