Active NPI
Kathy Latifi, DDS
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1104875988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3522
- Practice address
- 10960 S. Eastern Ave, Ste 112
Henderson, NV 89052 - Phone
- (702) 616-1600
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3522 | NV | Primary |
Addresses
Primary practice location
10960 S. Eastern Ave, Ste 112
Henderson, NV 89052
Mailing address
1571 Cordero Bay Ave
Las Vegas, NV 89123-5879
Phone (702) 616-1600
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104875988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 CORDERO BAY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891235879",
"telephone_number": "702-616-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10960 S. EASTERN AVE, STE 112",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-616-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIFI",
"first_name": "KATHY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "3522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.