Active NPI
Jason Maschal Landers, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fayetteville, AR
National Provider Identifier
1467672972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3412
- Practice address
- 1607 E Rainforest Dr
Fayetteville, AR 72703-5385 - Phone
- (479) 582-0600
- Fax
- (479) 443-4630
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 154 | OK | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3412 | AR | Primary |
Addresses
Primary practice location
1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Mailing address
1607 E Rainforest Dr
Fayetteville, AR 72703-5385
Phone (479) 582-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5A640 | Other | AR | BCBS - INDIVIDUAL |
| 200046160A | Other | OK | SOONERCARE - INDIVIDUAL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| 3412 | AR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Bentonville, AR
- NPI 1871951525
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1467672972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 E RAINFOREST DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-582-0600",
"fax_number": "479-443-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 E RAINFOREST DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-582-0600",
"fax_number": "479-443-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "JASON",
"middle_name": "MASCHAL",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OK",
"license": "154",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AR",
"license": "3412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - INDIVIDUAL",
"identifier": "5A640",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOONERCARE - INDIVIDUAL",
"identifier": "200046160A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.