Deborah D. Landis, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH15370 Issued in CA

Practice address

MCRD Dental Clinic 43000 Midway Ave.
San Deigo, CA 92140-5592

Phone

(619) 524-4009

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821162116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 MATINAL CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271235",
            "telephone_number": "858-485-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCRD DENTAL CLINIC 43000 MIDWAY AVE.",
            "city": "SAN DEIGO",
            "state": "CA",
            "postal_code": "921405592",
            "telephone_number": "619-524-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "DEBORAH",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH15370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrius Anderson, ASW
• Catherine Rita Farnam, RN, APRN
• Jeffrey D Hall
• Anthony Kahraan Hargrove
• United MRI Network Inc.
• Noel Weidner, MD
• Emma Johnson Wood, DDS

• Dental Hygienist in San Deigo, CA
• Providers in San Deigo, CA by specialty
• Dental Hygienist in California

• 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.