Dimitrios Andreas Landis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013284-01 Issued in NY

Practice address

12 Center St
Fredonia, NY 14063-1769

Phone

(716) 679-2233

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2019.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1447801964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 BROADWAY ST APT 838",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "DIMITRIOS",
        "middle_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013284-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Janine Korhummel
• William J Kuwik II, LMT
• Sheila Kyser, LCSW
• Lake Erie Medical Services, PC
• Andrew James Landis, MD
• Andrew Lanphere, ATC, LAT, CSCS
• Stephen Laskowski, DO
• Jill M Lawson, RPH
• Judith Rene Layman, R.N.
• Laurel Lees

• All providers in Fredonia, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.