Active NPI
Amber Chantell Landry, M.D.
- Pediatrics Physician
- Oklahoma City, OK
National Provider Identifier
1649650920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31602
- Practice address
- 937 SW 89TH St Ste a
Oklahoma City, OK 73139-9231 - Phone
- (405) 271-7447
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 31602 | OK | Primary |
Addresses
Primary practice location
937 SW 89TH St Ste a
Oklahoma City, OK 73139-9231
Mailing address
937 SW 89TH St Ste a
Oklahoma City, OK 73139-9231
Phone (405) 271-7447
Other practice location 1
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-4417
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Single Specialty | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| TCH Pediatric Associates, Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1649650920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 SW 89TH ST STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399231",
"telephone_number": "405-271-7447",
"fax_number": "405-271-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 SW 89TH ST STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399231",
"telephone_number": "405-271-7447"
}
],
"practiceLocations": [
{
"address_1": "1200 Childrens Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731044637",
"country_code": "US",
"telephone_number": "405-271-4417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRY",
"first_name": "AMBER",
"middle_name": "CHANTELL",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OK",
"license": "31602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.