NPIMap

Organization Active NPI

Trey Latiolais DDS PLLC

  • General Practice Dentistry
  • Daingerfield, TX
National Provider Identifier
1013454404
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24031 Issued in TX
Legal business name
TREY LATIOLAIS DDS PLLC
Practice address
1106 Broadnax St
Daingerfield, TX 75638-1030
Phone
(903) 645-7335
NPI assigned
Jan 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Dr. Trey LatiolaisNPI 1912156100
Title
Owner/Dentist
Phone
(903) 645-7335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24031 TX Primary

Addresses

Primary practice location

1106 Broadnax St
Daingerfield, TX 75638-1030

Mailing address

1106 Broadnax St
Daingerfield, TX 75638-1030
Phone (903) 645-7335

National Provider Directory

National Provider Directory

Locations

1106 Broadnax St
Daingerfield, TX 75638
Phone (903) 645-7335

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1013454404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BROADNAX ST",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756381030",
            "telephone_number": "903-645-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BROADNAX ST",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756381030",
            "telephone_number": "903-645-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREY LATIOLAIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "LATIOLAIS",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-645-7335",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daingerfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.