Individual provider Active NPI

Latonya Harris, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1003405630
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14618 Issued in TX
Practice address
222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512
Phone
(972) 768-6855
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14618 TX Primary

Addresses

Primary practice location

222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512

Mailing address

3212 Discovery Dr
Oak Point, TX 75068-0709
Phone (972) 768-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14618TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Blueprint: a Body Lab LLC Chiropractor CurrentSince Jan 31, 2021 Accepting new patients

Locations

222 W Jefferson Blvd
Ste C
Dallas, TX 75208
Phone (972) 768-4097

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1003405630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 DISCOVERY DR",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750680709",
            "telephone_number": "972-768-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W JEFFERSON BLVD STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084512",
            "telephone_number": "972-768-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LATONYA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.