Individual provider Active NPI

John R. Ladd

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1982628194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7486 Issued in IN
Practice address
2333 W Lincoln Rd
Kokomo, IN 46902-8012
Phone
(765) 455-0085
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7486 IN Primary

Addresses

Primary practice location

2333 W Lincoln Rd
Kokomo, IN 46902-8012

Mailing address

10624 W 100 S
Russiaville, IN 46979-9750
Phone (765) 883-7680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019000211 IN Order and Referring Only - DentistPractitioner - Dentist 3173763018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7486INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Dental Group of Peru, P.C. General Practice Past Accepting new patients
Midwest Apnea Solutions, LLC PastSince Sep 1, 2012 Accepting new patients
Ladd Dental of Greentown P.C. General Practice Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982628194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 W 100 S",
            "city": "RUSSIAVILLE",
            "state": "IN",
            "postal_code": "469799750",
            "telephone_number": "765-883-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028012",
            "telephone_number": "765-455-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.