Active NPI
Aaron Brent Land, D.D.S.
- General Practice Dentistry
- Prosper, TX
National Provider Identifier
1902119217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25691
- Practice address
- 1000 N Preston Rd Ste 40
Prosper, TX 75078-8893 - Phone
- (469) 712-4100
- Fax
- (469) 712-4100
- NPI assigned
- Jul 16, 2010
- Last updated
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25691 | TX | Primary |
Addresses
Primary practice location
1000 N Preston Rd Ste 40
Prosper, TX 75078-8893
Mailing address
1000 N Preston Rd Ste 40
Prosper, TX 75078-8893
Phone (469) 712-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820357 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25691 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Guys PLLC | Dentist | Past | Accepting new patients |
| Sun West Dental III, LLC Dba Sun West Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sun West Dental
- Dental Clinic/Center
- Chandler, AZ
- NPI 1699817213
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1902119217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N PRESTON RD STE 40",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788893",
"telephone_number": "469-712-4100",
"fax_number": "469-712-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N PRESTON RD STE 40",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788893",
"telephone_number": "469-712-4100",
"fax_number": "469-712-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "AARON",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "820357",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.