Organization Active NPI

Landmark Medical of Texas PA

  • General Practice Physician
  • Irving, TX
National Provider Identifier
1366039984
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LANDMARK MEDICAL OF TEXAS PA
Practice address
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Phone
(657) 400-5180
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Christopher Dennis, MD
Title
Chief Medical Officer
Phone
(657) 400-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239

Mailing address

7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152

Other practice location 1

14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Phone (281) 256-0364

Other practice location 2

9325 Tarver Dr Ste A-102
Temple, TX 76502-6162
Phone (254) 218-3295

National Provider Directory

National Provider Directory

Locations

14141 Southwest Fwy
Ste 500
Sugar Land, TX 77478
Phone (281) 256-0364

9325 Tarver Dr
Ste A-102
Temple, TX 76502
Phone (254) 218-3295

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1366039984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382239",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14141 Southwest Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783494",
            "country_code": "US",
            "telephone_number": "281-256-0364",
            "fax_number": "833-711-1699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9325 Tarver Dr Ste A-102",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765026162",
            "country_code": "US",
            "telephone_number": "254-218-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANDMARK MEDICAL OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "657-400-5180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.