IndividualActive
Landen Broadhead
NPI 1013455492 · Dentist · Travis Afb, CA
Landen Broadhead is a Dentist provider in Travis Afb, CA (NPI 1013455492).
Provider details
- NPI number
- 1013455492
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13972455-9926 (UT)
Specialties & taxonomies
Dental Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 Bodin Cir
Travis Afb, CA 94535-1801
Phone: (707) 423-7000
Street-level locationGet directions
Mailing address
101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Frequently asked questions
- What is Landen Broadhead's NPI number?
- Landen Broadhead's National Provider Identifier (NPI) is 1013455492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Landen Broadhead's specialty?
- Landen Broadhead is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Landen Broadhead located?
- Landen Broadhead's practice location on file with NPPES is 151 Bodin Cir, Travis Afb, CA 94535-1801.
- What is Landen Broadhead's phone number?
- The practice phone number listed in the NPPES registry for Landen Broadhead is (707) 423-7000.
- Is Landen Broadhead's NPI active?
- Yes — Landen Broadhead's NPI (1013455492) is active in the NPPES registry as of the last update on 2024-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.