JOHN ANDREW HOLLAND D.D.S.
NPI 1972618346
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Q: What is John Holland's NPI number?

The NPI number for John Holland is 1972618346. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is John Holland'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 John Holland was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 19, 2006PECOS Enrolled

10102 NE GLISAN ST, PORTLAND, OR 97220(503) 257-5959 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Andrew Holland D.d.s. NPPES

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

JOHN ANDREW HOLLAND D.D.S. (NPI 1972618346) is an individual oral and maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D7112) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972618346

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameJOHN ANDREW HOLLANDCredential: D.D.S.

Location Address10102 NE GLISAN STPortland, OR 97220-4456

Mailing Address2092 Northtree Dr NeKeizer, OR 97303-1974 · (503) 393-6814

Phone(503) 257-5959

Sole ProprietorNo

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972618346 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 OR · D7112

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.

10102 NE GLISAN ST, Portland, OR 97220

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Other Identifiers 1

Other1223S0112XOR · Oral Surgery

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Andrew Holland D.d.s. 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 97220 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 20

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

LEANNA GRANDI DA

Dental Assistant