Individual provider Active NPI

Miranda Dawn Lanning, MD

  • Pediatrics Physician
  • Springfield, OR
National Provider Identifier
1609219989
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD181138 Issued in OR
Practice address
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone
(541) 222-8500
Fax
(541) 222-6435
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD181138 OR Primary

Addresses

Primary practice location

3377 Riverbend Dr
Springfield, OR 97477-8803

Mailing address

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8500

Other practice location 1

1200 Hilyard St # 440
Eugene, OR 97401-8122
Phone (458) 205-6061

Other practice location 2

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8500

Other practice location 3

1400 Valley River Dr Ste 110
Eugene, OR 97401-6758
Phone (541) 222-7370

Other practice location 4

390 9th St
Florence, OR 97439-9470
Phone (541) 997-7134

Other practice location 5

4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8500

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718001530 OR Practitioner - Pediatric Medicine 6406126804 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD181138ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Cottage Grove Single Specialty CurrentSince Aug 21, 2017 Accepting new patients
Peacehealth Single Specialty CurrentSince May 1, 2025 Accepting new patients
Peacehealth Medical Group Single Specialty CurrentSince Aug 21, 2017 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Single Specialty Current Accepting new patients
Peacehealth Single Specialty Past Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
#440
Eugene, OR 97401
Phone (458) 205-6061

1400 Valley River Dr
Ste 110
Eugene, OR 97401
Phone (541) 222-7370

390 9th St
Florence, OR 97439
Phone (541) 997-7134

400 9th St
Florence, OR 97439
Phone (541) 997-8412

Interoperability endpoints

  • Direct secure messaging: mlanning348416@direct.peacehealth.org
  • Direct secure messaging: mlanning@yourcarecommunity.org

Organizations & group practices 6

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1609219989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778803",
            "telephone_number": "541-222-8500",
            "fax_number": "541-222-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778803",
            "telephone_number": "541-222-8500",
            "fax_number": "541-222-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hilyard St # 440",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018122",
            "country_code": "US",
            "telephone_number": "458-205-6061",
            "fax_number": "541-242-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-8500",
            "fax_number": "541-222-6435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Valley River Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016758",
            "country_code": "US",
            "telephone_number": "541-222-7370",
            "fax_number": "541-222-7374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399470",
            "country_code": "US",
            "telephone_number": "541-997-7134",
            "fax_number": "541-902-7528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 Aerial Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974029757",
            "country_code": "US",
            "telephone_number": "541-242-8500",
            "fax_number": "541-242-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANNING",
        "first_name": "MIRANDA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD181138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.