Peter Lee Ladd, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003388 Issued in MN

Practice address

1089 Robert St S
West Saint Paul, MN 55118-1456

Phone

(651) 457-5435

Fax

(651) 457-8091

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Premier Health of West St Paul

  • Chiropractor
  • West Saint Paul, MN
  • NPI 1477762110
  Medicare reassignment NPD
• Hands on Solutions PPLC

  • Chiropractor
  • Duluth, MN
  • NPI 1205526571
  NPD (past)
• Robert J Torgrimson PA

  • Chiropractor
  • Duluth, MN
  • NPI 1033262845
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1881726040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 ROBERT ST S",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181456",
            "telephone_number": "651-457-5435",
            "fax_number": "651-457-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 ROBERT ST S",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181456",
            "telephone_number": "651-457-5435",
            "fax_number": "651-457-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "PETER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138024900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSCE",
            "identifier": "003388",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Joloka
• Chris Keck-Cardona, M.D.
• Lauren Lee Ketchmark, PHARMD
• Patrick Q Knoedler, MD
• Nathanael Joseph Kreager, D.D.S.
• Christina Marie Losasso, NP
• Lubomir Serafimov DDS , P.a.
• Kendall Wike Matthews, PA-C
• Menon Periodontics and Implants, LLC
• Mercy Hill Health LLC

• Chiropractor in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.