Latoya Denise Colenberg Eakins, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3615-11 Issued in MS

Practice address

2045 Highway 61 N
Port Gibson, MS 39150

Phone

(601) 437-3050

Fax

(601) 437-3057

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAFEBA/Endpoint/CAFEBA

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1144500091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 HIGHWAY 61 N",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391504262",
            "telephone_number": "601-437-3050",
            "fax_number": "601-437-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 HIGHWAY 61 N",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "39150",
            "telephone_number": "601-437-3050",
            "fax_number": "601-437-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Port Gibson",
            "state": "MS",
            "postal_code": "39150",
            "country_code": "US",
            "telephone_number": "601-437-3050",
            "fax_number": "601-437-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLENBERG EAKINS",
        "first_name": "LATOYA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3615-11",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "361511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Port Gibson, MS
• Providers in Port Gibson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.