Active NPI
Daniel J Ladd DO PA
Doing business as Tru-Skin Dermatology
- Dermatology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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.O
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Dermatology Physician
- Bastrop, TX
- NPI 1831334291
O20040628000168
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1056432 | Tru-Skin Dermatology | Compliance | Apr 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Procedural Dermatology Physician
- Austin, TX
- NPI 1477556256
-
- Dermatopathology Physician
- Liberty Hill, TX
- NPI 1255534863
Dermatology
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1114242922
-
- Dermatology Physician
- Denison, TX
- NPI 1174941835
-
- Plastic and Reconstructive Surgery Physician
- Sugar Land, TX
- NPI 1518161199
-
- MOHS-Micrographic Surgery Physician
- Houston, TX
- NPI 1043621048
Dermatology
-
- Dermatology Physician
- Longview, TX
- NPI 1184164923
-
- Dermatology Physician
- Gatesville, TX
- NPI 1215026232
-
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1255589180
-
- Physician Assistant
- Waco, TX
- NPI 1255769261
-
- Surgical Physician Assistant
- Austin, TX
- NPI 1942205430
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.