Individual provider Active NPI

John P Ladas, DDS

  • Dentist
  • Blue Springs, MO
National Provider Identifier
1609867514
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10947 Issued in MO
Practice address
2301 Quonset CT
Blue Springs, MO 64014-1437
Phone
(816) 229-8049
Fax
(816) 373-7228
NPI assigned
Oct 31, 2005
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10947 MO Primary

Addresses

Primary practice location

2301 Quonset CT
Blue Springs, MO 64014-1437

Mailing address

2301 Quonset CT
Blue Springs, MO 64014-1437
Phone (816) 229-8049

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
10947MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1609867514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 QUONSET CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141437",
            "telephone_number": "816-229-8049",
            "fax_number": "816-373-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 QUONSET CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141437",
            "telephone_number": "816-229-8049",
            "fax_number": "816-373-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADAS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "10947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.