Organization Active NPI

Ladd Orthodontics of Logansport, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Logansport, IN
National Provider Identifier
1669912234
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12010466A Issued in IN
Legal business name
LADD ORTHODONTICS OF LOGANSPORT, LLC
Doing business as
Harmony Orthodontics
Practice address
335 Mall Rd
Logansport, IN 46947-2279
Phone
(765) 455-0085
Fax
(765) 455-6839
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Ms. Mary Elizabeth Ladd
Title
Ceo
Phone
(765) 455-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12010466A IN Primary

Addresses

Primary practice location

335 Mall Rd
Logansport, IN 46947-2279

Mailing address

2333 W. Lincoln Rd.
Kokomo, IN 46902
Phone (765) 455-0085

Other names 1

  • Harmony Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

335 Mall Rd
Logansport, IN 46947
Phone (765) 455-0085

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1669912234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W. LINCOLN RD.",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902",
            "telephone_number": "765-455-0085",
            "fax_number": "765-455-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MALL RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472279",
            "telephone_number": "765-455-0085",
            "fax_number": "765-455-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD ORTHODONTICS OF LOGANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-455-0085",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12010466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.