Rene Luis Landa, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN18735 Issued in FL

Practice address

104 NW 100TH Ave
Plantation, FL 33324-7008

Phone

(786) 488-3796

NPI assigned

Jul 10, 2009

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

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.

• Land of Smiles P.a.

  • Pediatric Dentistry
  • Pembroke Pines, FL
  • NPI 1790388155
  NPD Authorized official

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1215166368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 100TH AVE.",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "786-488-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "786-488-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "RENE",
        "middle_name": "LUIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martine Lalanne-Jean, LMFT.
• Joseph Lam, PHARMD
• Sarah Lam
• Ivette Lamas, PHARMD
• Jean-Paul Michel Lamour, MD
• Alix B Landman, MPH RD CDCES
• David Landry, PSY.D.
• Amanda C Lane
• Gerardo S. Lanes, M.D.
• Kimberly Langen

• Pediatric Dentistry in Plantation, FL
• Providers in Plantation, FL by specialty
• Pediatric Dentistry in Florida

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

Verify at the official NPI Registry.