Landmark Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

019019614 Issued in IL

Legal business name

LANDMARK DENTAL GROUP PC

Practice address

1605 Hunt St
Normal, IL 61761

Phone

(309) 454-7344

Fax

(309) 452-9969

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Beer, DDS

Title

Dentist

Phone

(309) 454-7344

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Landmark Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Landmark Dental Group, P.C.

  • General Practice Dentistry
  • Normal, IL
  • NPI 1265609689
  NPD tax ID

Practitioners 1

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

• Andrew Scott Beer, D.D.S.

  • General Practice Dentistry
  • Normal, IL
  • NPI 1528311354
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1760644363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HUNT ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-454-7344",
            "fax_number": "309-452-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HUNT ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-454-7344",
            "fax_number": "309-452-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "309-454-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649367814",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lally, N.P.
• Kristin Marie Lamb, DPT
• Jacleen A Lampert, ATC
• Katelyn Marie Lamps
• David K Landess, OPTOMETRIST
• Landmark Dental Group, P.C.
• Jennifer Lynn Lanz, APRN, CNP
• Annette M Larsen, LCPC
• Andrea Lasser, CRNA
• Daniel Stephen Lau, M.D.

• Dentist in Normal, IL
• Providers in Normal, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.