Individual provider Active NPI

Michael Brandon Landreth, DMD

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1104356625
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10733 Issued in NC
Practice address
3500 N Duke St
Durham, NC 27704-1707
Phone
(984) 439-1685
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10733 NC Primary

Addresses

Primary practice location

3500 N Duke St
Durham, NC 27704-1707

Mailing address

215 New Londondale Dr
Cary, NC 27513-5615
Phone (336) 287-4607

Other practice location 1

2630 Timber Dr
Garner, NC 27529-2571
Phone (919) 878-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001563 NC Practitioner - Dentist 6709218910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10733NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M. Brandon Landreth DMD PLLC CurrentSince Jul 9, 2025 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Aug 13, 2019 Accepting new patients
East Carolina University CurrentSince Aug 13, 2019 Accepting new patients
Robert W. Eisberg II, DDS, PA General Practice Past Accepting new patients

Locations

2630 Timber Dr
Garner, NC 27529
Phone (336) 287-4607

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104356625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NEW LONDONDALE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135615",
            "telephone_number": "336-287-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041707",
            "telephone_number": "984-439-1685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Timber Dr",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275292571",
            "country_code": "US",
            "telephone_number": "919-878-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.