Active NPI
Hector Zari Landig, D.M.D
- Dentist
- Diamond Bar, CA
National Provider Identifier
1104031525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36570
- Practice address
- 1241 Grand Ave
Suite G
Diamond Bar, CA 91765-4447 - Phone
- (909) 396-5161
- Fax
- (909) 396-5165
- NPI assigned
- May 10, 2007
- 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 | 36570 | CA | Primary |
Addresses
Primary practice location
1241 Grand Ave
Suite G
Diamond Bar, CA 91765-4447
Mailing address
1241 Grand Ave
Suite G
Diamond Bar, CA 91765-4447
Phone (909) 396-5161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104031525 | Medicaid | CA | |
| G90510 | Other | CA | DENTI-CAL |
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 |
|---|---|---|---|
| 36570 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector Z. Landig, D.M.D., Inc. | Current | Accepting new patients | |
| Myoli H. Landig D.D.S., Inc. | Past | Accepting new patients |
Locations
1241 Grand Ave
Ste G
Diamond Bar, CA 91765
Phone (909) 396-5161
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Diamond Bar, CA
- NPI 1457611469
-
- Dental Clinic/Center
- Diamond Bar, CA
- NPI 1750083127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1104031525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 GRAND AVE",
"address_2": "SUITE G",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654447",
"telephone_number": "909-396-5161",
"fax_number": "909-396-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 GRAND AVE",
"address_2": "SUITE G",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654447",
"telephone_number": "909-396-5161",
"fax_number": "909-396-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIG",
"first_name": "HECTOR",
"middle_name": "ZARI",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104031525",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G90510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.