Organization Active NPI

Robert W Ladley D.M.D. PA

  • Endodontics
  • Tavares, FL
National Provider Identifier
1184775421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9260 Issued in FL
Legal business name
ROBERT W LADLEY D.M.D. PA
Practice address
320A W Burleigh Blvd
Tavares, FL 32778-2410
Phone
(352) 742-3383
Fax
(352) 742-3583
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert William Ladley, D.M.D.NPI 1073937355
Title
Endodontist
Phone
(352) 742-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9260 FL Primary

Addresses

Primary practice location

320A W Burleigh Blvd
Tavares, FL 32778-2410

Mailing address

37918 N County Road 44a
Eustis, FL 32736-8329
Phone (352) 357-5976

National Provider Directory

National Provider Directory

Locations

320 W Burleigh Blvd
Ste A
Tavares, FL 32778
Phone (352) 742-3383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184775421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37918 N COUNTY ROAD 44A",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327368329",
            "telephone_number": "352-357-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320A W BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782410",
            "telephone_number": "352-742-3383",
            "fax_number": "352-742-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W LADLEY D.M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "352-742-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "9260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.