Peter Edward Landesberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14323 Issued in TX

Practice address

4230 Lyndon B Johnson Fwy
Suite 618
Dallas, TX 75244-5806

Phone

(972) 239-5641

Fax

(972) 385-9477

NPI assigned

Mar 9, 2007

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

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285766071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 618",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "972-239-5641",
            "fax_number": "972-385-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 618",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "972-239-5641",
            "fax_number": "972-385-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESBERG",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lander, MD
• Cameron Taylor Landers
• Jacob Landers, PT
• Jamie Nichole Landers
• Stephen Alan Landers, M.D.
• Rachel Landfield, CRNA
• Michael J Landgarten, MD
• Maria Adriana Landin
• Landmark Radiation Dallas LP
• Payton Elayne Landrum, LPC-A

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.