Prime Landing LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PRIME LANDING LLC

Practice address

640 Taylor St Ste 1200
Fort Worth, TX 76102-4828

Phone

(214) 970-5269

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Tommy RiveraNPI 1932891538

Title

Ceo

Phone

(214) 970-5269

Specialties & licenses 1

Addresses

Other names 1

• PRIME LANDING Doing business as

Practitioners 1

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

• Tommy Rivera

  • Point of Service
  • Fort Worth, TX
  • NPI 1932891538
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1821876285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ROCKMOOR LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168729",
            "telephone_number": "214-970-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TAYLOR ST STE 1200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024828",
            "telephone_number": "214-970-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LANDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-970-5269"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME LANDING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIME LANDING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Pridemore, FNP-C
• Ana Judith Prieto, RBT
• Cecilia Prieto
• Brittany Priller, MS, RD, LD
• Primary Care Clinic
• Prime Mind Care PLLC
• Prime Spine and Wellness PLLC
• Prime Vision Center PLLC
• Primecare Medical Transportation LLC
• Primecarex Home Health Agency LLC

• Contractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.