Active NPI
William T Landen Jr.
- Diagnostic Radiology Physician
- Roxboro, NC
National Provider Identifier
1245656552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23945
- Practice address
- 515 Ridge Rd
Roxboro, NC 27573-4627 - Phone
- (336) 503-5759
- Fax
- (336) 503-5717
- NPI assigned
- Mar 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23945 | NC | Primary |
Addresses
Primary practice location
515 Ridge Rd
Roxboro, NC 27573-4627
Mailing address
515 Ridge Rd
Roxboro, NC 27573-4627
Phone (336) 503-5759
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 |
|---|---|---|---|
| 23945 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamie Medical Clinic, PA | 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.
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1447587316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1245656552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734627",
"telephone_number": "336-503-5759",
"fax_number": "336-503-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734627",
"telephone_number": "336-503-5759",
"fax_number": "336-503-5717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDEN",
"first_name": "WILLIAM",
"middle_name": "T",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "23945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.