Individual provider Active NPI

Ryan Land, DMD

  • General Practice Dentistry
  • Buckeye, AZ
National Provider Identifier
1558035576
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11464 Issued in OR
Practice address
860 N Verrado Way
Buckeye, AZ 85326-7666
Phone
(602) 755-9588
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11464 OR Primary
General Practice Dentistry 1223G0001X D012397 AZ

Addresses

Primary practice location

860 N Verrado Way
Buckeye, AZ 85326-7666

Mailing address

860 N Verrado Way
Buckeye, AZ 85326-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130000421 OR Order and Referring Only - DentistPractitioner - Dentist 6002284726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012397AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E. Houston, DMD, PC CurrentSince Nov 28, 2021 Accepting new patients

Locations

4780 Village Plaza Loop
Ste 210
Eugene, OR 97401
Phone (541) 485-6646

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1558035576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 N VERRADO WAY",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 N VERRADO WAY",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267666",
            "telephone_number": "602-755-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11464",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.