Individual provider Active NPI

Christopher Michael Land, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1376706143
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9603 Issued in FL
Practice address
3603-1 Cardinal Point Dr
Jacksonville, FL 32257-9243
Phone
(904) 338-9995
Fax
(904) 425-4421
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9603 FL Primary

Addresses

Primary practice location

3603-1 Cardinal Point Dr
Jacksonville, FL 32257-9243

Mailing address

3603-1 Cardinal Point Dr
Jacksonville, FL 32257-9243
Phone (904) 338-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000711 FL Practitioner - Chiropractic 0648334474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3874 San Jose Park Dr
Suite 5
Jacksonville, FL 32217-4660
Phone (904) 338-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9603FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Land Chiropractic and Sports Clinic LLC Chiropractor CurrentSince Sep 20, 2008 Accepting new patients

Locations

3874 San Jose Park Dr
Ste 5
Jacksonville, FL 32217
Phone (904) 338-9995

8823 San Jose Blvd
Ste 201
Jacksonville, FL 32217
Phone (904) 338-9995

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1376706143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603-1 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579243",
            "telephone_number": "904-338-9995",
            "fax_number": "904-425-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603-1 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579243",
            "telephone_number": "904-338-9995",
            "fax_number": "904-425-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.