Paul T. Ladner, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19022084 Issued in IL

Practice address

1171 N Henderson St
Galesburg, IL 61401-2523

Phone

(309) 343-8727

Fax

(309) 342-0491

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ladner and Jain Orthodontics, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Galesburg, IL
  • NPI 1588204309
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1760596894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012523",
            "telephone_number": "309-343-8727",
            "fax_number": "309-342-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012523",
            "telephone_number": "309-343-8727",
            "fax_number": "309-342-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "PAUL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "19022084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Kroll
• Kelley A Krug, PA C
• Beata Kwiatkowska, PHARMD
• Annalise Laaker, MD
• Ladner and Jain Orthodontics, LLP
• Shannon Michelle Lampson, R.N.
• Laurali N Lape, LPN
• Michael L Larsen, DC
• Amy S Larson, M.D.
• Kristin Larson, ED.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.