Stanley a. Ladd DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

104330 Issued in CO

Legal business name

STANLEY A. LADD DDS PC

Practice address

2211 Mountain View Ave
Longmont, CO 80501-3191

Phone

(303) 772-5882

Fax

(303) 772-0363

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stanley A Ladd, DDS

Title

Owner

Phone

(303) 772-5882

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215999636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013191",
            "telephone_number": "303-772-5882",
            "fax_number": "303-772-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013191",
            "telephone_number": "303-772-5882",
            "fax_number": "303-772-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. LADD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-772-5882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "104330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02043305",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "579239",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Vrain Valley School District Re-1J
• Tricia Staatz, FNP
• Stacy Ruse Counseling PLLC
• Sarah Jean Stafford
• Julian Staiano, LPCC
• Thomas H Stanzel, D.C.
• Dana Tsyconyea Starbyrd, LMHC, ATR-P, LMT, HT
• Robert O Stark, NP
• Lisa Starner
• Starting With You LLC

• Dental Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Dental Clinic/Center in Colorado

• 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.