Active NPI
Harold Eugene Landis, D.D.S.
- Dentist
- Silver Spring, MD
National Provider Identifier
1104002435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8461
- Practice address
- 9801 Georgia Ave
Suite 228a
Silver Spring, MD 20902-5276 - Phone
- (301) 681-7061
- NPI assigned
- Jan 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8461 | MD | Primary |
Addresses
Primary practice location
9801 Georgia Ave
Suite 228a
Silver Spring, MD 20902-5276
Mailing address
9801 Georgia Ave
Suite 228a
Silver Spring, MD 20902-5276
Phone (301) 681-7061
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 |
|---|---|---|---|
| 8461 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1104002435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 GEORGIA AVE",
"address_2": "SUITE 228A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025276",
"telephone_number": "301-681-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 GEORGIA AVE",
"address_2": "SUITE 228A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025276",
"telephone_number": "301-681-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "HAROLD",
"middle_name": "EUGENE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "8461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.