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LANDON DERU ATC-L
NPI 1346511532
Student in an Organized Health Care Education/Training Program in Ogden, UT

Active since January 19, 2012
3730 BRINKER AVE, OGDEN, UT 84403(801) 928-3213 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Landon Deru Atc-l NPPES

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

LANDON DERU ATC-L (NPI 1346511532) is an individual student in an organized health care education/training program in Ogden, Utah and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1346511532
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANDON DERUCredential: ATC-L
Location Address3730 BRINKER AVEOgden, UT 84403-2019
Mailing Address3730 Brinker AveOgden, UT 84403-2019 · (801) 928-3213
Phone(801) 928-3213
Sole ProprietorNo
Enumeration DateJanuary 19, 2012
✔ NPI 1346511532 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.
3730 BRINKER AVE, Ogden, UT 84403
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landon Deru's NPI number?

The NPI number for Landon Deru is 1346511532. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Landon Deru located?

Landon Deru practices at 3730 Brinker Ave, Ogden, UT 84403. The listed phone number is (801) 928-3213.

What is Landon Deru's specialty?

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

When was this NPI record last updated?

The NPPES record for Landon Deru was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.