Lander Dental Group,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANDER DENTAL GROUP,PC

Practice address

799 S 2ND St
Lander, WY 82520-3703

Phone

(307) 332-7710

NPI assigned

Aug 16, 2007

Organization subpart

Yes

Parent organization

LANDER DENTAL GROUP, PCAs reported in NPPES

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

Authorized official

Name

Chris R Peterson, DDS

Title

President

Phone

(307) 332-7710

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Lander Dental Grouppc

Practitioners 2

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

• Christopher R Peterson, DDS

  • General Practice Dentistry
  • Lander, WY
  • NPI 1528121639
  NPD (past)
• Eric M Sheridan, DDS

  • General Practice Dentistry
  • Lander, WY
  • NPI 1750440665
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1902098528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 S 2ND ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203703",
            "telephone_number": "307-332-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 S 2ND ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203703",
            "telephone_number": "307-332-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDER DENTAL GROUP,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDER DENTAL GROUP, PC",
        "enumeration_date": "2007-08-16",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-332-7710",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118366400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lagreca Eye Clinic PC
• Lagreca Eye Clinic, P.C.
• Cory J Lamblin, MD
• Kortny Clayton Lancaster, OD
• Lander Community Veterans Resource Center, Inc.
• Lander Family Medicine, P.C.
• Lander Labs LLC
• Lander Medical Clinic, P.C.
• Lander Medical Clinic, PC
• Lander Regional Hospital

• General Practice Dentistry in Lander, WY
• Providers in Lander, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.