Individual provider Active NPI

Neil A. Landy, D.M.D.

  • Periodontics
  • Virginia Beach, VA
National Provider Identifier
1154436780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6981 Issued in VA
Practice address
281 Independence Blvd
Suite 231
Virginia Beach, VA 23462-2986
Phone
(757) 490-3830
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6981 VA Primary

Addresses

Primary practice location

281 Independence Blvd
Suite 231
Virginia Beach, VA 23462-2986

Mailing address

281 Independence Blvd
Suite 231
Virginia Beach, VA 23462-2986
Phone (757) 490-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120001669 VA Order and Referring Only - DentistPractitioner - Dentist 4789907221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6981VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil a. Landy, D.M.D. Periodontics Past Accepting new patients

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154436780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "SUITE 231",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-490-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "SUITE 231",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-490-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "NEIL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "6981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.