Active NPI
Dimitrios Andreas Landis, DC
- Chiropractor
- Fredonia, NY
National Provider Identifier
1447801964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013284-01
- Practice address
- 12 Center St
Fredonia, NY 14063-1769 - Phone
- (716) 679-2233
- NPI assigned
- Sep 25, 2019
- Last updated
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013284-01 | NY | Primary |
Addresses
Primary practice location
12 Center St
Fredonia, NY 14063-1769
Mailing address
5828 Broadway St Apt 838
Lancaster, NY 14086-9245
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013284-01 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}Other providers in Fredonia, NY
Sources for this page
- 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.