DR. JOHN FREDERICK LANDIS DDS
NPI 1043453723
Dentist - Oral and Maxillofacial Surgery in Jacksonville Beach, FL

Active since April 11, 2009PECOS Enrolled
472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250(904) 246-6545(904) 246-3718 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Dr. John Frederick Landis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN FREDERICK LANDIS DDS (NPI 1043453723) is an individual oral and maxillofacial surgery provider in Jacksonville Beach, Florida, licensed in Florida (DN 21096) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043453723
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN FREDERICK LANDISCredential: DDS
Location Address472 JACKSONVILLE DRJacksonville Beach, FL 32250-3812
Mailing Address472 Jacksonville DrJacksonville Beach, FL 32250-3812 · (904) 246-6545 · Fax (904) 246-3718
Fax(904) 246-3718
Sole ProprietorNo
Enumeration DateApril 11, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1043453723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in FL · DN 21096 Licensed in TX · 23434
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
472 JACKSONVILLE DR, Jacksonville Beach, FL 32250

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Frederick Landis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
472 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
Dentist (Oral and Maxillofacial Surgery)
472 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
Oral & Maxillofacial Surgery
472 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
Dentist (Oral and Maxillofacial Surgery)
472 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
Dentist (Oral and Maxillofacial Surgery)
472 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Landis's NPI number?

The NPI number for John Landis is 1043453723. It was assigned to this individual provider in the NPPES registry on April 11, 2009.

Where is John Landis located?

John Landis practices at 472 Jacksonville Dr, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-6545.

What is John Landis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Landis enrolled in Medicare?

Yes. John Landis is registered in the Medicare PECOS enrollment system.

What insurance does John Landis accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list John Landis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Landis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.