DR. LANDON LIBBY (NPI# 1275816506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275816506 |
| Entity Type | Individual |
| Full Name | DR. LANDON LIBBY |
| Credential | D.D.S. |
| Practice Address |
8555 Fletcher Pkwy Suite 102 La Mesa CA 91942-3060 |
| Practice Telephone | 6193377700 |
| Practice Fax Number | 6193377710 |
| Mailing Telephone | 6193377700 |
| Mailing Fax Number | 6193377710 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60867 | CA | Dental Providers |
| Street Address |
8555 FLETCHER PKWY SUITE 102 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174624209 | Jeffrey Clyde Gray | Dentist | 8555 Fletcher Pkwy, Suite 102, La Mesa, CA 91942-3060 | 2006-09-25 |
| 1518379122 | John Paul Zermeno | Dentist | 8555 Fletcher Pkwy, #102, La Mesa, CA 91942-3060 | 2014-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134602469 | D Sangho Park Dds Mph Dental Corporation | Dentist | 7484 University Ave Ste 150, La Mesa, CA 91942-6084 | 2018-09-12 |
| 1154844298 | Mohammed A Kadhem | Dentist | 5565 Grossmont Center Dr Ste 354, La Mesa, CA 91942-3027 | 2017-07-20 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1760934871 | Ariannejad and Pham Dental Corporation | Dentist | 5620 Lake Murray Blvd, La Mesa, CA 91942-1981 | 2016-10-25 |
| 1972989887 | Luay Simhairy | Dentist | 10882 Calle Verde Apt 118, La Mesa, CA 91941-8501 | 2015-08-03 |
| 1720468903 | Emily Bland Dds Inc | Dentist | 6080 Lake Murray Blvd., La Mesa, CA 91942 | 2015-06-03 |
| 1366715807 | David Christopher Flamenco | Dentist | 8860 Center Dr Ste 410, La Mesa, CA 91942-7003 | 2012-02-14 |
| 1144517731 | Purvi Vakil | Dentist | 5601 Grossmont Center Dr Ste 200, La Mesa, CA 91942-3074 | 2011-07-01 |
| 1124322961 | Douglas Bradford Smith | Dentist | 7879 El Cajon Blvd, La Mesa, CA 91942-0623 | 2011-01-10 |
| 1932435955 | Christine Allen | Dentist | 8530 La Mesa Blvd Ste 204, La Mesa, CA 91942 | 2009-10-27 |
| Find all providers in LA MESA | ||||
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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.