Regina Landesberg, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

006855 Issued in CT

Practice address

263 Farmington Ave
Oral & Maxillofacial Surgery
Farmington, CT 06030-1720

Phone

(860) 679-3300

Fax

(860) 679-1099

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1376756072

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1962559245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "ORAL & MAXILLOFACIAL SURGERY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301720",
            "telephone_number": "860-679-3300",
            "fax_number": "860-679-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESBERG",
        "first_name": "REGINA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "006855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962559245",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen James Lahey, M.D.
• Santhanam Lakshminarayanan, MD
• Rajesh Lalla, DDS
• William Anthony Lambert
• Francise Lamothe, MD
• Brandi Renae Landis, M.D.
• Alden Landry
• Arthur Bernard Landry IV, MD
• Brian N. Landry, PA
• Eric Joshua Landsberg, MD

• Oral and Maxillofacial Surgery (Dentist) in Farmington, CT
• Providers in Farmington, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.