Individual provider Active NPI

John Lindsay Laird, M.D.

  • General Practice Physician
  • Pope Valley, CA
National Provider Identifier
1790979797
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G86906 Issued in CA
Practice address
7199 Pope Valley Rd
Pope Valley, CA 94567-9409
Phone
(707) 965-0456
NPI assigned
Sep 2, 2007
Last updated
Sep 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G86906 CA Primary

Addresses

Primary practice location

7199 Pope Valley Rd
Pope Valley, CA 94567-9409

Mailing address

7199 Pope Valley Rd
Pope Valley, CA 94567-9409
Phone (707) 965-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141215001560 CA Order and Referring Only - General PracticePractitioner - General Practice 1456673839

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86906CAMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: john.laird@48406090678276.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1790979797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 POPE VALLEY RD",
            "city": "POPE VALLEY",
            "state": "CA",
            "postal_code": "945679409",
            "telephone_number": "707-965-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 POPE VALLEY RD",
            "city": "POPE VALLEY",
            "state": "CA",
            "postal_code": "945679409",
            "telephone_number": "707-965-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "JOHN",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G86906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pope Valley, CA

Sources for this page

Verify at the official NPI Registry.