Tyrone Antonio Landers, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8895 Issued in NC

Practice address

8525 Pit Stop CT NW Ste a&B
Concord, NC 28027-8337

Phone

(704) 548-2700

Fax

(704) 548-2767

NPI assigned

Nov 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1265686836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 RICHWOOD CIR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280816704",
            "telephone_number": "980-939-3017",
            "fax_number": "704-548-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 PIT STOP CT NW STE A&B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278337",
            "telephone_number": "704-548-2700",
            "fax_number": "704-548-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Randolph Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072027",
            "country_code": "US",
            "telephone_number": "704-332-8188",
            "fax_number": "704-662-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "TYRONE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8895",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3487-08",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Jean Lamoureaux, PA
• Joanne Marie Lamphier, COTA/L
• Angela Gurganus Lancaster, FNP
• Landers and Associates, DMD, P.a.
• Michael James Landers, D.C., F.I.A.M.A.
• Veronica Elbashab Landers, D.M.D.
• Jennifer B Lang, PT
• Adam David Langenbrunner, M.D.
• Francis P. J. Langford, M.D.
• Kelli Denise Lanier, NP

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.