Landon Cameron Mazyck, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 10797 Issued in FL

Practice address

1001 Thomasville Rd
Suite a
Tallahassee, FL 32303-6293

Phone

(850) 224-4151

Fax

(850) 222-9192

NPI assigned

Jun 10, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Landon C Mazyck DMD PL

  • Dental Clinic/Center
  • Tallahassee, FL
  • NPI 1790996130
  NPD (past) Authorized official
• David Cardman, DMD, PLLC

  • Dental Clinic/Center
  • Tallahassee, FL
  • NPI 1669211124
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1457799678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 THOMASVILLE RD",
            "address_2": "SUITE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036293",
            "telephone_number": "850-224-4151",
            "fax_number": "850-222-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 THOMASVILLE RD",
            "address_2": "SUITE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036293",
            "telephone_number": "850-224-4151",
            "fax_number": "850-222-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZYCK",
        "first_name": "LANDON",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L Mays, PHARMD
• Etienne Mazimpaka
• Mridul K Mazumder, M.D.
• David Timothy Mazur, D.M.D.
• Gabriella Nicole Mazur
• Jessica Mazzariello
• Alexandria Mazzei, RN
• Danielle Mazziotta, ARNP
• Joseph M Mazziotta, M.D.
• Mbi Health Services, LLC

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.