JOHN ANDREW HOLLAND D.D.S.
NPI 1972618346
Dentist - Oral and Maxillofacial Surgery in Portland, OR
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show John Holland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 3,207 clinicians in this Medicare group
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 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.
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.
PORTLAND, OR 97220
PORTLAND, OR 97220
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 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.
Where is John Holland located?
John Holland practices at 10102 NE Glisan St, Portland, OR 97220. The listed phone number is (503) 257-5959.
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.
Is John Holland enrolled in Medicare?
Yes. John Holland is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Holland reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 John Holland'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 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.
# John Andrew Holland, D.D.S. · NPI 1972618346
Oral and Maxillofacial Surgery provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1972618346 (Entity type: Individual)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** D7112 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10102 NE GLISAN ST, Portland, OR 97220-4456
- **Phone:** (503) 257-5959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1063990695, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 1223S0112X (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1972618346) · Data from the CMS NPPES public registry.