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DR. RANDY JAMES LANDA D.D.S.
NPI 1639240161
Dentist - General Practice in Plymouth, MN

Active since November 13, 2006PECOS Enrolled
12805 HIGHWAY 55, SUITE 100, PLYMOUTH, MN 55441(763) 559-0775(763) 559-0776 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy James Landa D.d.s. NPPES

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

DR. RANDY JAMES LANDA D.D.S. (NPI 1639240161) is an individual general practice provider in Plymouth, Minnesota, licensed in Minnesota (11837) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639240161
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDY JAMES LANDACredential: D.D.S.
Location Address12805 HIGHWAY 55, SUITE 100Plymouth, MN 55441-3859
Mailing Address12805 Highway 55, Suite 100Plymouth, MN 55441-3859 · (763) 559-0775 · Fax (763) 559-0776
Phone(763) 559-0775
Fax(763) 559-0776
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639240161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 11837
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12805 HIGHWAY 55, Plymouth, MN 55441
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy James Landa D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

LAURIS J PRINSEN L.A.D.C.
Counselor (Mental Health)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
NAVIGATING CHANGES LLC
Marriage & Family Therapist
12805 HIGHWAY 55, SUITE 402
PLYMOUTH, MN 55441
Hennepin County (612) 643-0046
CHRISTINE S CHANG MD
Family Medicine
12805 HIGHWAY 55, SUITE 111
PLYMOUTH, MN 55441
Hennepin County (763) 577-2060
AUTISM FAMILY THERAPY INC
Marriage & Family Therapist
12805 HIGHWAY 55, SUITE 402
PLYMOUTH, MN 55441
Hennepin County (612) 597-0459
PAMELA RAE GALBRAITH M.S., L.P.C.
Counselor (Professional)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
KRISTIN CARPENTER LMT
Massage Therapist
12805 HIGHWAY 55, SUITE 210
PLYMOUTH, MN 55441
Hennepin County (763) 550-0892
ROGER LEE REDDAN M.A., L.P.
Psychologist (Counseling)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
JEFF SHIVELY, MSW, LICSW
Social Worker (Clinical)
12805 HIGHWAY 55, SUITE 200
PLYMOUTH, MN 55441
Hennepin County (612) 723-0408

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 Randy Landa's NPI number?

The NPI number for Randy Landa is 1639240161. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Randy Landa located?

Randy Landa practices at 12805 Highway 55 Suite 100, Plymouth, MN 55441. The listed phone number is (763) 559-0775.

What is Randy Landa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randy Landa enrolled in Medicare?

Yes. Randy Landa is registered in the Medicare PECOS enrollment system.

What insurance does Randy Landa accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Randy Landa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Landa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.