Frederick Arnold Landgrebe

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1593 Issued in ND

Practice address

1008 East Main Street
Mandan, ND 58554-3762

Phone

(701) 667-1933

Fax

(701) 667-2115

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• F A Landgrebe Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Image Dentistry & Spa

  • General Practice Dentistry
  • Mandan, ND
  • NPI 1891090668
  NPD (past)
• Leah Brady, DDS, PC

  dba Ideal Image Dentistry & Spa

  • Dentist
  • Mandan, ND
  • NPI 1295010742
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568517779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 EAST MAIN STREET",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543762",
            "telephone_number": "701-667-1933",
            "fax_number": "701-667-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 EAST MAIN STREET",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543762",
            "telephone_number": "701-667-1933",
            "fax_number": "701-667-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGREBE",
        "first_name": "FREDERICK",
        "middle_name": "ARNOLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40654",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F",
            "last_name": "LANDGREBE",
            "middle_name": "A",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tavia Kuntz
• Lisa J Lafleur, PT
• Shaniqua Lafontant
• Lakewood Landing, Inc.
• Samantha J Landenberger, MS OTR/L
• Julie Lang
• Karen Marie Lang, MASSAGE THERAPIST
• Katelyn Norma Lang
• Monica L. Lang, DPT
• Darwin K Lange, MD

• General Practice Dentistry in Mandan, ND
• Providers in Mandan, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.