Active NPI
Latasha Mills
- Dental Hygienist
- Mount Pleasant, WI
National Provider Identifier
1184382285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020012322
- Practice address
- 1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402 - Phone
- (262) 223-0280
- NPI assigned
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020012322 | IL | Primary |
Addresses
Primary practice location
1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402
Mailing address
7111 97TH Ave
Kenosha, WI 53142-8376
Phone (262) 496-7810
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020012322 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1184382285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 97TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428376",
"telephone_number": "262-496-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S GREEN BAY RD",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534064402",
"telephone_number": "262-223-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "LATASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020012322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.