LANDON WILSON DMD
NPI 1407559180
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Q: What is Landon Wilson's NPI number?

The NPI number for Landon Wilson is 1407559180. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Landon Wilson'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 Wilson was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2023PECOS Enrolled

1924 ALCOA HWY # U-63, KNOXVILLE, TN 37920(865) 305-9123 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Mar 23, 2023 (2 updates tracked since 2023).

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About Landon Wilson Dmd NPPES

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

LANDON WILSON DMD (NPI 1407559180) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407559180

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLANDON WILSONCredential: DMD

Location Address1924 ALCOA HWY # U-63Knoxville, TN 37920-1511

Mailing Address1924 Alcoa Hwy # U-63Knoxville, TN 37920-1511 · (865) 305-9123

Phone(865) 305-9123

Sole ProprietorNo

Enumeration DateMarch 23, 2023

Last NPPES UpdateJune 4, 20242 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1407559180 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.

1924 ALCOA HWY # U-63, Knoxville, TN 37920

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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 Wilson Dmd 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.

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Other Providers at the Same Location NPPES 13

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

DEVIN GILLIS

Student in an Organized Health Care Education/Training Program