Landon Sears, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10937 Issued in TN

Practice address

1265 Interstate Dr Ste 101
Cookeville, TN 38501-5198

Phone

(931) 783-1491

NPI assigned

Apr 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cavity Commando's Dentistry for Kids PLLC

  • Pediatric Dentistry
  • Cookeville, TN
  • NPI 1215592340
  NPD (past) Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1356876320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 INTERSTATE DR STE 101",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015198",
            "telephone_number": "931-783-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 INTERSTATE DR STE 101",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015198",
            "telephone_number": "931-783-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-669-5873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARS",
        "first_name": "LANDON",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049288",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean Scott, R.N.
• Maya Scott, DDS
• Kaci Taylor Scudder
• Lindsay Seagraves, NP-C
• Katherine Butler Seale, DPT
• Seasons Family Medicine, PLLC
• Ashley R Sebastian, FNP-BC
• David Bradley Seitzinger, MD
• Graham Sells, PHARMD
• Ruthellen Elizabeth Sells, BEHAVIOR TECHNICIAN

• Pediatric Dentistry in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.