Daniel Joseph Ladd Jr., DO

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

L1102 Issued in TX

Practice address

3500 Jefferson St Ste 200
Ste 308
Austin, TX 78731-6200

Phone

(512) 451-0139

Fax

(512) 323-5880

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Emergency Medicine, Micrographic Dermatologic Surgery (MDS)

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Daniel J Ladd DO PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  Medicare reassignment NPD Authorized official
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TX

  Medicare reassignment Care Compare group NPD
• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • Bastrop, TX
  • NPI 1831334291
  NPD Authorized official
• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • La Grange, TX
  • NPI 1609011154
  NPD (past) Authorized official
• Jeffrey a Stone DO PA

  • General Practice Physician
  • Dallas, TX
  • NPI 1619080991
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1477556256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST STE 200",
            "address_2": "STE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316200",
            "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 STE 200",
            "address_2": "STE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316200",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "L1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB108299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Lacour, CRNA
• Matthew Dale Lacour, MD
• Lacroix Chiropractic LLC
• Alexandra Marie Lacy, MS OTR/L
• Yamini Lad, MD
• Sadie Christine Laddusaw, C-AA
• Ladera Park Dermatology PA
• Ladera Park Dermatology, P.a.
• Rachel Ladov
• Lady Bird Physical Therapy

• Procedural Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.