Samuel Landrian, DMD, MD.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN20143 Issued in FL

Practice address

6731 Madison St
New Port Richey, FL 34652-1928

Phone

(727) 842-5180

Fax

(727) 846-0755

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Jaw Surgery of New Port Richey PA

  • Oral and Maxillofacial Surgery (Dentist)
  • New Port Richey, FL
  • NPI 1487839205
  NPD (past)
• Mitchell Oral Surgery and Implant Centers PA

  dba Mosaic

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearwater, FL
  • NPI 1003287129
  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1083955819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 MADISON ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521928",
            "telephone_number": "727-842-5180",
            "fax_number": "727-846-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 MADISON ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521928",
            "telephone_number": "727-842-5180",
            "fax_number": "727-846-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIAN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME139628",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN20143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lambert, OTD
• Roberta M Lambert, CASE MANAGER
• Lamperts Therapy Group
• Paul J Lancaster, DC
• Bruce Landon, MD
• Malcolm Lang
• Azaria Langston Branch
• Emilee Hope Lantagne
• Larry J. Kipp DPM PA
• Larry J. Kipp DPM, PA

• Oral and Maxillofacial Surgery (Dentist) in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.