Active NPI
Kapil Laddha, D.D.S.
- General Practice Dentistry
- Anthony, NM
National Provider Identifier
1629513338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37135
- Practice address
- 855 Anthony Dr
Anthony, NM 88021 - Phone
- (575) 882-3607
- Fax
- (575) 882-2909
- NPI assigned
- Jan 4, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001465 | WI | |
| General Practice Dentistry | 1223G0001X | DD4829 | NM | |
| General Practice Dentistry | 1223G0001X | 37135 | TX | Primary |
Addresses
Primary practice location
855 Anthony Dr
Anthony, NM 88021
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20789840 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170110000582 | WI | Order and Referring Only - Other (Physician) | 3577844307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001465 | WI | MD | Dentist |
| DD4829 | NM | MD | General Practice Dentistry |
| 37135 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1629513338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 ANTHONY DR",
"city": "ANTHONY",
"state": "NM",
"postal_code": "88021",
"telephone_number": "575-882-3607",
"fax_number": "575-882-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADDHA",
"first_name": "KAPIL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-04",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001465",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD4829",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20789840",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anthony, NM
- La Clinica de Familia, Incorporated
- La Frontera Center Inc. Dba la Fronter New Mexico Inc.
- La Frontera Center Inc. Dba la Frontera New Mexico Inc
- La Frontera New Mexico
- Jennifer G Labrado
- Las Flores Home Health Care LLC
- Christina Lessau, BSW
- Melissa Lorena Leyva
- Katherine Link, LMSW
- Angela Danielle Lopez, MS, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.