LANDON ROSEVEAR DO
NPI 1255960233
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Landon Rosevear's NPI number?

The NPI number for Landon Rosevear is 1255960233. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as N/A N/A Do.

Q: What is Landon Rosevear's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Landon Rosevear was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2020PECOS Enrolled

620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4512 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Apr 2, 2020 (2 updates tracked since 2020).

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About Landon Rosevear Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDON ROSEVEAR DO (NPI 1255960233) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255960233

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLANDON ROSEVEARCredential: DO

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing Address620 Shadow LnLas Vegas, NV 89106-4194 · (702) 388-4512

Phone(702) 388-4512

Sole ProprietorYes

Enumeration DateApril 2, 2020

Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1255960233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

620 SHADOW LN, Las Vegas, NV 89106

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Other Names 1

Other Name (5)N/a N/a Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landon Rosevear Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANN STACEY PICKENS NP

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