NPIMap

Organization Active NPI

Landenberger and Douglass, DDS,PA

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1669659934
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6643 Issued in NC
Legal business name
LANDENBERGER AND DOUGLASS, DDS,PA
Practice address
1001 W Williams St
Suite 105
Apex, NC 27502-3978
Phone
(919) 362-7878
Fax
(919) 362-6214
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Trent Landenberger, DDSNPI 1508945676
Title
President
Phone
(919) 362-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6643 NC Primary

Addresses

Primary practice location

1001 W Williams St
Suite 105
Apex, NC 27502-3978

Mailing address

1001 W Williams St
Suite 105
Apex, NC 27502-3978
Phone (919) 362-7878

National Provider Directory

National Provider Directory

Locations

1001 W Williams St
Ste 105
Apex, NC 27502
Phone (919) 362-7878

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1669659934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-362-7878",
            "fax_number": "919-362-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-362-7878",
            "fax_number": "919-362-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDENBERGER AND DOUGLASS, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "LANDENBERGER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-362-7878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.