Organization Active NPI

John C Land MD PC

  • Specialist
  • Redmond, OR
National Provider Identifier
1376685370
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD23120 Issued in OR
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

Updated by the provider on Jul 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John C Land, MD PCNPI 1649228131
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.