Individual provider Active NPI

Landis K Griffeth, PHD MD

  • Nuclear Medicine Physician
  • Dallas, TX
National Provider Identifier
1861446635
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
J3486 Issued in TX
Practice address
3500 Gaston Avenue
Dallas, TX 75246
Phone
(214) 826-8822
Fax
(214) 826-9792
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X J3486 TX Primary

Addresses

Primary practice location

3500 Gaston Avenue
Dallas, TX 75246

Mailing address

712 N Washington Ave
Suite 101
Dallas, TX 75246-1619
Phone (214) 826-8822

Other identifiers 2

IdentifierTypeStateIssuer
139923023MedicaidTX
139923022MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031119000977 TX Practitioner - Diagnostic Radiology 3274437504 Reassigns benefits to 2 organizations
I20221031001699 SC Practitioner - Diagnostic Radiology 3274437504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J3486TXMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Dec 29, 2014 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2013 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Jan 2, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2013 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
MCH Professional Care Hospital Based CurrentSince May 9, 2018 Accepting new patients
Btdi JV LLP CurrentSince Sep 10, 2018 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
American Radiology Consultants PLLC CurrentSince Apr 1, 1996 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2023 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jan 9, 2014 Accepting new patients
Texas Oncology PA Past Accepting new patients
Baylor University Medical Center Past Accepting new patients
American Radiology Consultants PLLC Past Accepting new patients

Locations (25 of 52)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

9109 N Central Expy
Ste 100
Dallas, TX 75231

3500 Gaston Ave
Dallas, TX 75246

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

3535 Worth St
Ste 110
Dallas, TX 75246
Phone (214) 370-1700

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

9109 N Central Expy
Ste 200
Dallas, TX 75231

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

1441 W Jefferson Blvd
Dallas, TX 75208

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

712 N Washington Ave
Ste 101
Dallas, TX 75246
Phone (214) 826-8822

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

3600 Gaston Ave
Ste 404
Dallas, TX 75246
Phone (214) 824-6718

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1861446635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFETH",
        "first_name": "LANDIS",
        "middle_name": "K",
        "credential": "PHD  MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "J3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139923023",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139923022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.