Individual provider Active NPI

Jason Landino, DMD

  • Dentist
  • Little River, SC
National Provider Identifier
1659749679
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DGD.8741 GD Issued in SC
Practice address
3702 Sea Mountain Hwy
Little River, SC 29566
Phone
(843) 734-0212
NPI assigned
Sep 8, 2015
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.8741 GD SC Primary
Dentist 122300000X 0442000255 VA

Addresses

Primary practice location

3702 Sea Mountain Hwy
Little River, SC 29566

Mailing address

269 Cable Lake Circle
Carolina Shores, NC 28467
Phone (203) 671-7562

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

State licenses

LicenseStateTypeSpecialty
DGD.8741 GDSCMDDentist
0442000255VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Dental Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1659749679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CABLE LAKE CIRCLE",
            "city": "CAROLINA SHORES",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "203-671-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 SEA MOUNTAIN HWY",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "29566",
            "telephone_number": "843-734-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDINO",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8741 GD",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.