Active NPI
Landmark Medical of Mississippi PC
- General Practice Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LANDMARK MEDICAL OF MISSISSIPPI PC
- Practice address
- 14116 Customs Blvd
Gulfport, MS 39503-5164 - Phone
- (657) 400-5180
- NPI assigned
- Apr 12, 2018
- Last updated
- Jan 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Dennis, MD
- Title
- Chief Medical Officer
- Phone
- (657) 400-5180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
14116 Customs Blvd
Gulfport, MS 39503-5164
Mailing address
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Phone (657) 400-5180
National Provider Directory
National Provider DirectoryLocations
14116 Customs Blvd
Gulfport, MS 39503
Phone (601) 957-6300
14116 Customs Blvd
Ste 113
Gulfport, MS 39503
Phone (833) 362-6703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Huntington Beach, CA
- NPI 1811068349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1053818245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 630",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479152",
"telephone_number": "657-400-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14116 CUSTOMS BLVD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395035164",
"telephone_number": "657-400-5180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK MEDICAL OF MISSISSIPPI PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-12",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "657-400-5180",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.