Active NPI
Dennis M Landis, MD
- Neurology Physician
- Washington, DC
National Provider Identifier
1194758136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD037989
- Practice address
- 3800 Reservoir Rd NW
Georgetown University Hosp; Dept. Neurology
Washington, DC 20007-2113 - Phone
- (202) 444-8525
- Fax
- (877) 245-1499
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-052989 | OH | |
| Neurology Physician | 2084N0400X | MD037989 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
Georgetown University Hosp; Dept. Neurology
Washington, DC 20007-2113
Mailing address
PO Box 418283
Boston, MA 02241-8283
Phone (703) 558-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0613401 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41793 | TX | MD | General Practice Dentistry |
| 35-052989 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Neurologists Association,Inc | Neurology | Past | Accepting new patients |
| University Hospitals Cleveland Medical Center | 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.
-
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1952488108
-
- Neuroscience Clinical Nurse Specialist
- Cleveland, OH
- NPI 1871531210
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1194758136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418283",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418283",
"telephone_number": "703-558-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"address_2": "GEORGETOWN UNIVERSITY HOSP; DEPT. NEUROLOGY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-8525",
"fax_number": "877-245-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "DENNIS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-052989",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD037989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0613401",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.