Active NPI
John C Land MD PC
- Specialist
- Redmond, OR
National Provider Identifier
1376685370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD23120
- Legal business name
- JOHN C LAND MD PC
- Practice address
- 1245 NW 4TH St
Ste 101
Redmond, OR 97756-1363 - Phone
- (541) 548-7761
- Fax
- (541) 526-6554
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John C Land, MD PC
- Title
- President
- Phone
- (541) 548-7761
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD23120 | OR | Primary |
Addresses
Primary practice location
1245 NW 4TH St
Ste 101
Redmond, OR 97756-1363
Mailing address
1245 NW 4TH St
Ste 101
Redmond, OR 97756-1363
Phone (541) 548-7761
National Provider Directory
National Provider DirectoryLocations
1523 NW Canal Blvd
Ste 200
Redmond, OR 97756
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184716800000",
"number": "1376685370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 NW 4TH ST",
"address_2": "STE 101",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561363",
"telephone_number": "541-548-7761",
"fax_number": "541-526-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 NW 4TH ST",
"address_2": "STE 101",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561363",
"telephone_number": "541-548-7761",
"fax_number": "541-526-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C LAND MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-18",
"status": "A",
"authorized_official_last_name": "LAND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-548-7761",
"authorized_official_credential": "MD PC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "MD23120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.