Individual provider Active NPI

Landon M Johnson, M.D.

  • Dermatology Physician
  • Wichita, KS
National Provider Identifier
1346478054
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
04-36198 Issued in KS
Practice address
1911 North Webb Rd
Wichita, KS 67206
Phone
(316) 682-7546
Fax
(316) 682-7554
NPI assigned
Jul 1, 2009
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-36198 KS Primary
Internal Medicine Physician 207R00000X 7282 KS

Addresses

Primary practice location

1911 North Webb Rd
Wichita, KS 67206

Mailing address

1911 North Webb Rd
Wichita, KS 67206
Phone (316) 682-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000577 KS Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0648413161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Dermatology LLCGroup PAC ID 7315360716, 7 clinicians

Practice addresses (Care Compare)

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

4013 N Ridge Rd
Suite 120
Wichita, KS 67205-8826
Phone (316) 682-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
89.77
Improvement activities
40
Cost
84.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision272
Removal of skin lesions646
Removal of skin cancer844
Removal or shaving of skin growth38
Skin biopsy110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7282KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Dermatology LLC Moeller Dermatology Dermatology CurrentSince Jul 13, 2020 Accepting new patients

Locations

1911 N Webb Rd
Wichita, KS 67206
Phone (316) 682-7546

4013 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 682-7546

Interoperability endpoints

  • Direct secure messaging: ljohnson@wichitaderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1346478054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 NORTH WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 NORTH WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LANDON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-36198",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "7282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.