Active NPI
Myoli Herrero Landig, D.D.S.
- General Practice Dentistry
- Diamond Bar, CA
National Provider Identifier
1134596083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64964
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64964 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myoli H. Landig D.D.S., Inc. | Current | 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.
-
- Dental Clinic/Center
- Diamond Bar, CA
- NPI 1750083127
-
- Preferred Provider Organization
- Diamond Bar, CA
- NPI 1457611469
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.