Organization Active NPI

Tin Latt DDS Inc

  • Dental Clinic/Center
  • Monterey Park, CA
National Provider Identifier
1093293334
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49354 Issued in CA
Legal business name
TIN LATT DDS INC
Practice address
883 S Atlantic Blvd Ste C
Monterey Park, CA 91754-4725
Phone
(626) 284-4200
Fax
(626) 284-4700
NPI assigned
Jul 30, 2018
Last updated
Aug 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Authorized official

Name
Tin Latt, DDSNPI 1013092998
Title
Owner/Dentist
Phone
(626) 284-4200

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
Dental Clinic/Center 261QD0000X 49354 CA Primary

Addresses

Primary practice location

883 S Atlantic Blvd Ste C
Monterey Park, CA 91754-4725

Mailing address

883 S Atlantic Blvd Ste C
Monterey Park, CA 91754-4725
Phone (626) 284-4200

National Provider Directory

National Provider Directory

Locations

871 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 284-4200

883 S Atlantic Blvd
Ste C
Monterey Park, CA 91754
Phone (626) 284-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1093293334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 S ATLANTIC BLVD STE C",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544725",
            "telephone_number": "626-284-4200",
            "fax_number": "626-284-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 S ATLANTIC BLVD STE C",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544725",
            "telephone_number": "626-284-4200",
            "fax_number": "626-284-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN LATT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "LATT",
        "authorized_official_first_name": "TIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-284-4200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.