DR. CHARLES RANDOLPH LANDIS D.D.S., O.M.S.
NPI 1063584399
Dentist - Oral and Maxillofacial Surgery in Oroville, CA

Q: What is Charles Landis's NPI number?

The NPI number for Charles Landis is 1063584399. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Dr. C. Randy Landis D.D.S., O.M.S..

Q: What is Charles Landis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Landis was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

2990 ORO DAM BLVD E, STE C, OROVILLE, CA 95966(530) 533-7900(530) 533-3457 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Charles Randolph Landis D.d.s., O.m.s. NPPES

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

DR. CHARLES RANDOLPH LANDIS D.D.S., O.M.S. (NPI 1063584399) is an individual oral and maxillofacial surgery provider in Oroville, California, licensed in California (31940) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Dentistry (1983).

NPPES Registry Identity

NPI1063584399

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CHARLES RANDOLPH LANDISCredential: D.D.S., O.M.S.

Location Address2990 ORO DAM BLVD E, STE COroville, CA 95966-5190

Mailing Address2619 Forest Ave, Ste 120Chico, CA 95928-4390 · (530) 893-3912 · Fax (530) 893-2451

Phone(530) 533-7900

Fax(530) 533-3457

Sole ProprietorNo

Medical School CMSLoma Linda University School Of DentistryGraduated 1983

Enumeration DateNovember 14, 2006

Last NPPES UpdateJanuary 4, 2018

✔ NPI 1063584399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 31940

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.

2990 ORO DAM BLVD E, Oroville, CA 95966

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Other Names 1

Professional Name (2)Dr. C. Randy Landis D.d.s., O.m.s.

Other Identifiers 1

MedicaidB31940CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Randolph Landis D.d.s., O.m.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496918948

PECOS Enrollment IDI20120518000587

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Landis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

C. Randy Landis, DDS, Inc.

25 mi

Oral and Maxillofacial Surgery

80 DECLARATION DR, SUITE 101
Chico, CA 95973

Reassigned Medicare billing, California enrollment

NPI 1306071758 (530) 893-3912

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95966 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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

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

MICHAEL T MCLOGAN D.C.

Chiropractor

2990 ORO DAM BLVD E
OROVILLE, CA 95966

Butte County (530) 533-3117

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 Charles Landis's NPI number?

The NPI number for Charles Landis is 1063584399. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Dr. C. Randy Landis D.D.S., O.M.S..

Where is Charles Landis located?

Charles Landis practices at 2990 Oro Dam Blvd E Ste C, Oroville, CA 95966. The listed phone number is (530) 533-7900.

What is Charles Landis's specialty?

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

Is Charles Landis enrolled in Medicare?

Yes. Charles Landis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Landis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Landis reassigns Medicare benefits to C. Randy Landis, DDS, Inc. (Chico, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Landis was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.