Stephen M Laduque DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEPHEN M LADUQUE DDS, PA

Practice address

1420 E Main St
Eastland, TX 76448-3023

Phone

(254) 629-3330

Fax

(254) 629-3332

NPI assigned

May 24, 2019

Last updated

May 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Pence

Title

Practice Manager

Phone

(254) 965-2777

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: frontdesk@drladuque.com

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1811554777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764481038",
            "telephone_number": "254-629-3330",
            "fax_number": "254-629-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483023",
            "telephone_number": "254-629-3330",
            "fax_number": "254-629-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M LADUQUE DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "254-965-2777"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@drladuque.com",
            "affiliation": "N",
            "address_1": "1420 E Main St",
            "city": "Eastland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764483023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scooter Mart Inc
• Scooter Mart Inc
• Senior Living Properties LLC (Eastland Healthcare Center)
• Seniorlivingproperties (Eastlandhealthcarecenter)
• William Franklin Simpson Jr., D.O.
• Julie Berenda Stewart, NP
• Kimberly Diane Stieber, PT, DPT
• Samantha Ranae Thomas, APRN-CNP
• Christopher Tidroski, D.O.
• Bich Thuy Tran

• Dental Clinic/Center in Eastland, TX
• Providers in Eastland, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.