Organization Active NPI

Daniel J Ladd DO PA

Doing business as Tru-Skin Dermatology

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1326238296
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DANIEL J LADD DO PA
Doing business as
Tru-Skin Dermatology
Practice address
3500 Jefferson St
Suite 200
Austin, TX 78731-6224
Phone
(512) 451-0139
Fax
(512) 323-5880
NPI assigned
Jul 27, 2007
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Dr. Daniel Joseph Ladd Jr., D.ONPI 1477556256
Title
Physican
Phone
(512) 451-0139

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0200X

Addresses

Primary practice location

3500 Jefferson St
Suite 200
Austin, TX 78731-6224

Mailing address

3500 Jefferson St
Suite 200
Austin, TX 78731-6224
Phone (512) 451-0139

Other names 1

  • Tru-Skin Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000168 TX Part B Supplier - Clinic/Group Practice 4880670140 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Bastrop, TX; Spring Branch, TX; Round Rock, TX; La Grange, TX; Cedar Park, TX; Hallettsville, TX; Austin, TX; Bee Cave, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1056432Tru-Skin Dermatology3500 Jefferson Street Suite 200, Austin, TX 78731ComplianceApr 17, 2027

National Provider Directory

National Provider Directory

Locations

11612 FM 2244 Rd
Ste 2-175
Austin, TX 78738

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

2 Saint Marks Pl
Ste 110
La Grange, TX 78945
Phone (979) 242-2387

9073 W State Highway 29
Ste 108
Liberty Hill, TX 78642
Phone (737) 377-3143

21727 W Interstate 10
Ste 202
San Antonio, TX 78257
Phone (210) 245-4078

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1326238296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316224",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316224",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J LADD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "512-451-0139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru-Skin Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.