Individual provider Active NPI

Kyle Winter Landt, M.D.

  • Pediatric Endocrinology Physician
  • Bedford, NH
National Provider Identifier
1558376327
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
7524 Issued in NH
Practice address
5 Washington PL
Bedford, NH 03110-6736
Phone
(603) 695-2500
Fax
(603) 629-1785
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 7524 NH Primary

Addresses

Primary practice location

5 Washington PL
Bedford, NH 03110-6736

Mailing address

5 Washington PL
Bedford, NH 03110-6736
Phone (603) 695-2500

Other identifiers 1

IdentifierTypeStateIssuer
3001805MedicaidNH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7524NHMDPediatric Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1558376327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106736",
            "telephone_number": "603-695-2500",
            "fax_number": "603-629-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106736",
            "telephone_number": "603-695-2500",
            "fax_number": "603-629-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDT",
        "first_name": "KYLE",
        "middle_name": "WINTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NH",
            "license": "7524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001805",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.