Individual provider Active NPI

Melissa Land

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1780646547
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46314 Issued in CO
Practice address
605 Parfet St
Lakewood, CO 80215-5576
Phone
(303) 758-2800
NPI assigned
Apr 5, 2006
Last updated
Jun 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46314 CO Primary

Addresses

Primary practice location

605 Parfet St
Lakewood, CO 80215-5576

Mailing address

605 Parfet St
Lakewood, CO 80215-5576
Phone (303) 758-2800

Other identifiers 1

IdentifierTypeStateIssuer
11651351MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070906000254 TX Practitioner - Family Practice 1557454675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Clinic LLCGroup PAC ID 3779742713, 10 clinicians

Practice addresses (Care Compare)

318 W Loop 1604
San Antonio, TX 78245-3194
Phone (210) 523-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46314COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sona LLC of Texas CurrentSince Apr 4, 2022 Accepting new patients
Highlands Ranch Healthcare LLC Past Accepting new patients
Family Healthcare Associates Family Medicine PastSince Jul 13, 2018 Accepting new patients

Locations

318 W Loop 1604 N
San Antonio, TX 78245
Phone (210) 455-9000

6032 FM 3009
Ste 120
Schertz, TX 78154
Phone (210) 878-4033

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1780646547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PARFET ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155576",
            "telephone_number": "303-758-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PARFET ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155576",
            "telephone_number": "303-758-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11651351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.