1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Plastic Surgery
  6. NPI Profile

LANDIS PLASTIC SURGERY
NPI 1679287767
Plastic Surgery in Tulsa, OK

Active since January 12, 2023CLIA 37D2331498 · Waiver
2005 E 21ST ST STE 325, TULSA, OK 74114(918) 764-8516(918) 764-8514 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2023, Jan 12, 2023 (2 updates tracked since 2023).

About Landis Plastic Surgery NPPES

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

LANDIS PLASTIC SURGERY (NPI 1679287767) is a healthcare organization registered as a plastic surgery in Tulsa, Oklahoma and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Lesley Landis, Owner, as its authorized official.

NPPES Registry Identity

NPI1679287767
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameLESLEY V LANDIS MD PLLC
Location Address2005 E 21ST ST STE 325Tulsa, OK 74114-1403
Mailing Address2005 E 21st St Ste 325Tulsa, OK 74114-1403 · (918) 764-8516 · Fax (918) 764-8514
Phone(918) 764-8516
Fax(918) 764-8514
Organization SubpartNo
Authorized OfficialLesley LandisOwner · (405) 650-3452
Enumeration DateJanuary 12, 2023
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1679287767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2005 E 21ST ST STE 325, Tulsa, OK 74114
Open in Google Maps ↗

Other Names 1

Doing Business AsLandis Plastic Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2331498

Landis Plastic Surgery · Tulsa, OK
Active · expires Oct 1, 2027
CLIA Number37D2331498
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorLesley V. Landis
Laboratory Phone(918) 764-8516
Laboratory LocationLandis Plastic Surgery2005 E 21st St, Ste 350, Tulsa, OK 74114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lesley V Landis MD PLLC's NPI number?

The NPI number for Lesley V Landis MD PLLC is 1679287767. It was assigned to this organization in the NPPES registry on January 12, 2023. The provider is doing business as Landis Plastic Surgery.

Where is Lesley V Landis MD PLLC located?

Lesley V Landis MD PLLC is located at 2005 E 21st St Ste 325, Tulsa, OK 74114. The listed phone number is (918) 764-8516.

What is Lesley V Landis MD PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Lesley V Landis MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2331498) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lesley V Landis MD PLLC was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.