Organization Active NPI

Keith Ladner, MD, Inc.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Greenwood Village, CO
National Provider Identifier
1700160496
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
DR50123 Issued in CO
Legal business name
KEITH LADNER, MD, INC.
Practice address
8200 E Belleview Ave Ste 320C
Greenwood Village, CO 80111-2607
Phone
(303) 253-7686
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Keith LadnerNPI 1578783395
Title
President
Phone
(303) 807-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0099X DR50123 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave Ste 320C
Greenwood Village, CO 80111-2607

Mailing address

5436 Illini Way
Boulder, CO 80303-4212

Other practice location 1

150 S Rodeo Dr Ste 230B
Beverly Hills, CA 90212-2408
Phone (303) 253-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000408 CO Part B Supplier - Clinic/Group Practice 9133392475 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO

National Provider Directory

National Provider Directory

Locations

150 S Rodeo Dr
Ste 230B
Beverly Hills, CA 90212
Phone (303) 253-7686

425 S Cherry St
Ste 321
Glendale, CO 80246
Phone (303) 253-7686

8200 E Belleview Ave
Ste 320C
Greenwood Village, CO 80111
Phone (303) 253-7686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1700160496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 ILLINI WAY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 320C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112607",
            "telephone_number": "303-253-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Rodeo Dr Ste 230B",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902122408",
            "country_code": "US",
            "telephone_number": "303-253-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEITH LADNER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "LADNER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-807-7325"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CO",
            "license": "DR50123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.