Individual provider Active NPI

Myoli Herrero Landig, D.D.S.

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1134596083
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64964 Issued in CA
Practice address
1241 Grand Ave Ste G
Diamond Bar, CA 91765-4447
Phone
(909) 396-5161
Fax
(909) 396-5165
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 64964 CA Primary

Addresses

Primary practice location

1241 Grand Ave Ste G
Diamond Bar, CA 91765-4447

Mailing address

5382 Edgewood Dr
La Verne, CA 91750-1715
Phone (951) 255-4925

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

LicenseStateTypeSpecialty
64964CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Myoli H. Landig D.D.S., Inc. CurrentSince Mar 26, 2023 Accepting new patients
Hector Z. Landig, D.M.D., 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.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1134596083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 EDGEWOOD DR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501715",
            "telephone_number": "951-255-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 GRAND AVE STE 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": "MYOLI",
        "middle_name": "HERRERO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64964",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 26, 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.

Verify at the official NPI Registry.