DR. JOHN DAVID LANDGREN (NPI# 1427260744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427260744 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID LANDGREN |
| Credential | D.D.S. |
| Practice Address |
483 W. Seed Farm Rd. Sacaton AZ 85147-0038 |
| Mailing Address |
P.o. Box 38 Sacaton AZ 85147-0038 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025281255 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025281255 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D008855 | AZ | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6546 | CO | Dental Providers |
| Street Address |
483 W. SEED FARM RD. |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941867 | Ronald Eugene Morehouse | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-06-10 |
| 1154808780 | Brady Glenn Lybbert | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2018-07-26 |
| 1598257248 | Corinne C Ciuris | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85043 | 2018-05-30 |
| 1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
| 1710414503 | Vicki Stevenson | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-05-11 |
| 1124569892 | Dustin Akina | Physical Therapist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-03-15 |
| 1346791571 | Emily Perkins | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-10-24 |
| 1861852329 | Christine Waite | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-02-26 |
| 1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
| 1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477586170 | Suzanne De Ball | Dentist | Seed Farm Street, Hu Hu Kam Memorial Hospital, Sacaton, AZ 85247 | 2006-07-08 |
| 1013090505 | Kelly M Saunders | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.