NPIMap

Organization Active NPI

Ladd Dental of Greentown P.C.

  • General Practice Dentistry
  • Greentown, IN
National Provider Identifier
1730103391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LADD DENTAL OF GREENTOWN P.C.
Practice address
520 W Main St
Greentown, IN 46936-1021
Phone
(765) 628-2203
Fax
(765) 628-0790
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John R LaddNPI 1982628194
Title
President
Phone
(765) 628-2203

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IN Primary

Addresses

Primary practice location

520 W Main St
Greentown, IN 46936-1021

Mailing address

520 W Main St
Greentown, IN 46936-1021
Phone (765) 628-2203

National Provider Directory

National Provider Directory

Locations

520 W Main St
Greentown, IN 46936
Phone (765) 628-2203

Practitioners & affiliated clinicians

Practitioners 5

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730103391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361021",
            "telephone_number": "765-628-2203",
            "fax_number": "765-628-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361021",
            "telephone_number": "765-628-2203",
            "fax_number": "765-628-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD DENTAL OF GREENTOWN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-628-2203",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.