Organization Active NPI

Lander Sport & Health Sciences, LLC

  • Neurology Chiropractor
  • Westport, CT
National Provider Identifier
1134553910
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
001472 Issued in CT
Legal business name
LANDER SPORT & HEALTH SCIENCES, LLC
Practice address
125 Kings Hwy N
Westport, CT 06880-2428
Phone
(203) 226-2366
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Joshua Lander, DC, MS
Title
Member
Phone
(203) 226-2366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 001472 CT Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 000254 CT

Addresses

Primary practice location

125 Kings Hwy N
Westport, CT 06880-2428

Mailing address

125 Kings Hwy N
Westport, CT 06880-2428

Other identifiers 1

IdentifierTypeStateIssuer
050001472CT01OtherCTBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1134553910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802428",
            "telephone_number": "203-226-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDER SPORT & HEALTH SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "LANDER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-226-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "001472",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050001472CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.