Ladd Dental Group of McCordsville, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LADD DENTAL GROUP OF MCCORDSVILLE, INC.

Practice address

6653 W Broadway
McCordsville, IN 46055-9558

Phone

(765) 455-0085

NPI assigned

Jun 28, 2017

Last updated

Aug 2, 2022By 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

Ms. Mary Ladd

Title

Ceo

Phone

(765) 455-0085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1831610120",
    "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": "469028012",
            "telephone_number": "765-455-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 W BROADWAY",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559558",
            "telephone_number": "765-455-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD DENTAL GROUP OF MCCORDSVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-455-0085",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Kern, SLP
• Yhaneke Kilpatrick, RN
• Craig Matthew Kimmel, D.D.S.
• David Kinnebrew
• April Krowel, PH.D.
• Kelli Larrabee - Dewell, DDS
• Laura Snider Consulting, LLC (INhouse Primary Care)
• Kristin Leatherman, PT, DPT
• Liturgy Home Care LLC
• Austin Lowe

• Dental Clinic/Center in McCordsville, IN
• Providers in McCordsville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.