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C. RANDY LANDIS, DDS, INC.
NPI 1306071758
Dentist - Oral and Maxillofacial Surgery in Chico, CA

Active since May 28, 2009
80 DECLARATION DR, SUITE 101, CHICO, CA 95973(530) 893-3912(530) 893-2451 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C. Randy Landis, Dds, Inc. NPPES

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

C. RANDY LANDIS, DDS, INC. (NPI 1306071758) is a healthcare organization registered as an oral and maxillofacial surgery in Chico, California and active in the NPI registry since May 2009. The organization lists Charles Randy Landis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1306071758
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameC. RANDY LANDIS, DDS, INC.
Location Address80 DECLARATION DR, SUITE 101Chico, CA 95973-4913
Mailing Address80 Declaration Dr, Suite 101Chico, CA 95973-4913 · (530) 893-3912 · Fax (530) 893-2451
Phone(530) 893-3912
Fax(530) 893-2451
Organization SubpartNo
Authorized OfficialCharles Randy LandisPresident/owner · (530) 893-3912
Enumeration DateMay 28, 2009
Last NPPES UpdateNovember 3, 2015
✔ NPI 1306071758 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.
80 DECLARATION DR, Chico, CA 95973
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Other Identifiers 2

Medicare PINDS0319400CA
MedicaidB31940CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

IMELDA MIRANDA MATA
Physician Assistant
80 DECLARATION DR
CHICO, CA 95973
Butte County (530) 894-6832
GAGAN TAKHAR
Physician Assistant
80 DECLARATION DR
CHICO, CA 95973
Butte County (530) 894-6832
DR. LAWRENCE KENNETH CLIFFORD D.D.S.
Dentist
80 DECLARATION DR, SUITE 102
CHICO, CA 95973
Butte County (530) 899-2634
DR. KAFELE T HODARI MD
Dermatology
80 DECLARATION DR
CHICO, CA 95973
Butte County (530) 894-6832

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 C. Randy Landis, Dds, Inc.'s NPI number?

The NPI number for C. Randy Landis, Dds, Inc. is 1306071758. It was assigned to this organization in the NPPES registry on May 28, 2009.

Where is C. Randy Landis, Dds, Inc. located?

C. Randy Landis, Dds, Inc. is located at 80 Declaration Dr Suite 101, Chico, CA 95973. The listed phone number is (530) 893-3912.

What is C. Randy Landis, Dds, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for C. Randy Landis, Dds, Inc. was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.