Timothy Richard Latham, D.C. M.S. LDN CSCS

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

3532 Issued in MA

Practice address

665 Boylston St Ste 3
Boston, MA 02116-4825

Phone

(724) 554-2795

NPI assigned

Feb 9, 2010

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

State licenses

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.

• Back Bay Health LLC

  dba Back Bay Health and Performance

  • Chiropractor
  • Boston, MA
  • NPI 1033554894
  Authorized official Same address or phone

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1073845525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 EDINBORO ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601302",
            "telephone_number": "724-554-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825",
            "telephone_number": "724-554-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "TIMOTHY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C. M.S. LDN CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MA",
            "license": "3532",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "3868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Lataillade, M.D.
• Margaret Latawiec
• Barrington E Latham
• Carol J. Latham, L.I.C.S.W.
• Katherine Latham
• Christopher Scott Lathan, M.D. M.S. M.P.H.
• Aurelien Lathuiliere, MD, PHD
• Zara Latif, MD
• Jaclyn Latimer
• Jessica Michelle Latimer, DDS

• Nutrition Chiropractor in Boston, MA
• Providers in Boston, MA by specialty
• Nutrition Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.