Active NPI
David N Landis, MD
- Diagnostic Radiology Physician
- Carson City, NV
National Provider Identifier
1366474728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4833
- Practice address
- 2874 N Carson St Ste 300
Carson City, NV 89706-1683 - Phone
- (775) 445-5500
- Fax
- (775) 852-6902
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G51035 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 4833 | NV | Primary |
Addresses
Primary practice location
2874 N Carson St Ste 300
Carson City, NV 89706-1683
Mailing address
PO Box 2087
Carson City, NV 89702-2087
Phone (775) 882-0430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300042840 | Other | NV | RAILROAD MEDICARE |
| 002013011 | Medicaid | NV | |
| AX217X | Other | CA | MEDICARE PTAN |
| FS4913489 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51035 | CA | MD | Pharmacist |
| G51035 | CA | MD | Diagnostic Radiology Physician |
| 4833 | NV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Radiology, PLC | Past | Accepting new patients | |
| Imaging Advanced Consultants LLC | Past | Accepting new patients | |
| Arizona Advanced Imaging Center LLC | Past | Accepting new patients | |
| Great Basin Imaging | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1093747446
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Mesa, AZ
- NPI 1124078431
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1447344197
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Mesa, AZ
- NPI 1144704610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1366474728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897022087",
"telephone_number": "775-882-0430",
"fax_number": "775-852-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 N CARSON ST STE 300",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061683",
"telephone_number": "775-445-5500",
"fax_number": "775-852-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "DAVID",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G51035",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "4833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300042840",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002013011",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AX217X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "FS4913489",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.