Individual provider Active NPI

Edward D. Landau, D.M.D.

  • Dentist
  • New Hope, PA
National Provider Identifier
1184626319
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS21617L Issued in PA
Practice address
1 Village Row
Logan Square
New Hope, PA 18938-1061
Phone
(215) 862-6400
Fax
(215) 862-7100
NPI assigned
Jun 1, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS21617L PA Primary

Addresses

Primary practice location

1 Village Row
Logan Square
New Hope, PA 18938-1061

Mailing address

1 Village Row
Logan Square
New Hope, PA 18938-1061
Phone (215) 862-6400

Other identifiers 1

IdentifierTypeStateIssuer
115252OtherPABLUE SHIELD PROVIDER NUMB

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
DS21617LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Solebury Dental Associates Past Accepting new patients
Newhope Solebury Dental LLC Past Accepting new patients

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1184626319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE ROW",
            "address_2": "LOGAN SQUARE",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381061",
            "telephone_number": "215-862-6400",
            "fax_number": "215-862-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE ROW",
            "address_2": "LOGAN SQUARE",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381061",
            "telephone_number": "215-862-6400",
            "fax_number": "215-862-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "EDWARD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-11-16",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS21617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "115252",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.