Jose Ramon Matos Landa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27244 Issued in FL

Practice address

550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679

Phone

(863) 345-8690

NPI assigned

Mar 31, 2020

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BBD Dental Care Corp

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1376378968
  NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1134757446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 ASHWORTH DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472269",
            "telephone_number": "813-404-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-345-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 Cove Bend Dr # 3232-34",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336132752",
            "country_code": "US",
            "telephone_number": "813-515-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS LANDA",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim A Marx, RRT,RPFT
• Nadege Masson
• Stephanie Lee Mathew, MD
• Latoria Mathis
• Mary Kristina Mathis, M.A./CCC-SLP
• Lauren Margaret Mattern
• Shatevius Matthews
• Brendan Michael Maye
• Giomara Livette McBee, PTA
• Maurice F McCarthy, MD

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.