Active NPI
Wayne Brooks Ladd, D.C.
- Chiropractor
- Kokomo, IN
National Provider Identifier
1386714293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001690A
- Practice address
- 2136 N Cooper St
Kokomo, IN 46901-1697 - Phone
- (765) 452-0888
- Fax
- (765) 452-6288
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001690A | IN | Primary |
Addresses
Primary practice location
2136 N Cooper St
Kokomo, IN 46901-1697
Mailing address
2136 N Cooper St
Kokomo, IN 46901-1697
Phone (765) 452-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200412100A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110930000089 | IN | Practitioner - Chiropractic | 8123923349 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2136 N Cooper St
Kokomo, IN 46901-1697
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001690A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Chiropractic Center Inc | Chiropractor | Current | Accepting new patients |
Locations
1775 E Lincoln Rd
Kokomo, IN 46902
Phone (765) 450-8204
1719 Faith Rd
Kokomo, IN 46901
Phone (317) 452-0888
2136 N Cooper St
Kokomo, IN 46901
Phone (765) 452-0888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Kokomo, IN
- NPI 1992921530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1386714293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 N COOPER ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469011697",
"telephone_number": "765-452-0888",
"fax_number": "765-452-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 N COOPER ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469011697",
"telephone_number": "765-452-0888",
"fax_number": "765-452-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADD",
"first_name": "WAYNE",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001690A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200412100A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.