Landmark Medical of Michigan PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LANDMARK MEDICAL OF MICHIGAN PC

Practice address

3000 Town Ctr Ste 1400
Southfield, MI 48075-1271

Phone

(313) 284-2204

NPI assigned

Jul 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Dennis, MD

Title

Chief BH Officer

Phone

(657) 400-5180

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1083285597",
    "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": "657-237-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TOWN CTR STE 1400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751271",
            "telephone_number": "313-284-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485072683",
            "country_code": "US",
            "telephone_number": "810-256-0513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 Centennial Way",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489178254",
            "country_code": "US",
            "telephone_number": "810-256-0513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13919 S West Bay Shore Dr Ste G03",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496846228",
            "country_code": "US",
            "telephone_number": "616-207-3534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Monroe Center St NW Ste 600",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032911",
            "country_code": "US",
            "telephone_number": "616-207-3534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANDMARK MEDICAL OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF BH 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": []
}

• Valynsia Lampkin, LLPC
• Lana Coxton Nutrition LLC
• Landers Rehabilitation Services LLC
• Polly Ann Landgraf, PT
• Kim C Landis, MD
• Landmark Therapy LLC
• Landmark Therapy PLLC
• Andrea Landrum
• Irene Lane
• Lanette'S Safe Haven LLC

• General Practice Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.