Ian J Landesman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6284 Issued in LA

Practice address

735 Asbury Dr
Mandeville, LA 70471-1843

Phone

(985) 624-2334

Fax

(985) 624-2335

NPI assigned

May 20, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mark S Chaney DMD and Nicholas Chaney DDS (Northshore) LLC

  • Dental Clinic/Center
  • Mandeville, LA
  • NPI 1235814153
  NPD (past)

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1386904753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CROSS GATES BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614104",
            "telephone_number": "504-638-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ASBURY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711843",
            "telephone_number": "985-624-2334",
            "fax_number": "985-624-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESMAN",
        "first_name": "IAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-20",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamartina Med
• Callie G Lambert
• Emma Schafer Lambert
• Diamond T Lampton
• Landers Internal Medicine, LLC
• Dustin Thomas Landgrave, DO
• Marion R Landor, LPN
• Andrea Lane
• Edward Langlow, MD
• Lauren Wood Larose, M.D.

• Dentist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.