Individual provider Active NPI

Craig Peter Ladow, D.C.

  • Sports Physician Chiropractor
  • Oakland, CA
National Provider Identifier
1346452695
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC22747 Issued in CA
Practice address
1212 Broadway
Suite 722
Oakland, CA 94612-1805
Phone
(510) 839-3330
Fax
(510) 839-3331
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22747 CA
Rehabilitation Chiropractor 111NR0400X DC22747 CA
Sports Physician Chiropractor 111NS0005X DC22747 CA Primary

Addresses

Primary practice location

1212 Broadway
Suite 722
Oakland, CA 94612-1805

Mailing address

1212 Broadway
Suite 722
Oakland, CA 94612-1805
Phone (510) 839-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC22747CAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346452695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BROADWAY",
            "address_2": "SUITE 722",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121805",
            "telephone_number": "510-839-3330",
            "fax_number": "510-839-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADWAY",
            "address_2": "SUITE 722",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121805",
            "telephone_number": "510-839-3330",
            "fax_number": "510-839-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOW",
        "first_name": "CRAIG",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22747",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC22747",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC22747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.