Organization Active NPI

Andover Family Medicine, LLC

  • Primary Care Clinic/Center
  • Andover, KS
National Provider Identifier
1124067558
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ANDOVER FAMILY MEDICINE, LLC
Practice address
2117 Keystone Cir
Andover, KS 67002-8749
Phone
(316) 733-5120
Fax
(316) 733-1280
NPI assigned
Jun 4, 2006
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Dr. Lindsay Landers, DONPI 1407872708
Title
Owner/Physician
Phone
(316) 733-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X KS Primary

Addresses

Primary practice location

2117 Keystone Cir
Andover, KS 67002-8749

Mailing address

2117 Keystone Cir
Andover, KS 67002-8749
Phone (316) 733-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060726000283 KS Part B Supplier - Clinic/Group Practice 7012920663 Receives reassigned benefits from 13 practitioners
Practice locations: Andover, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1055247Andover Family Medicine2117 N Keystone Circle, Andover, KS 67002ComplianceMar 6, 2027

National Provider Directory

National Provider Directory

Locations

105 S Andover Rd
Ste D
Andover, KS 67002
Phone (316) 733-5120

2117 Keystone Cir
Andover, KS 67002
Phone (316) 247-5430

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1124067558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 KEYSTONE CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028749",
            "telephone_number": "316-733-5120",
            "fax_number": "316-733-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 KEYSTONE CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028749",
            "telephone_number": "316-733-5120",
            "fax_number": "316-733-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "316-733-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.