Vincent Nevin Lattanzi, PROPHY TECH

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

576 Fort Eustis Blvd
Fort Eustis, VA 23604

Phone

(757) 314-7925

NPI assigned

Sep 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1194375188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 STERNBERG AVE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041526",
            "telephone_number": "757-314-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT EUSTIS BLVD",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "23604",
            "telephone_number": "757-314-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Zmonore ave",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "23604",
            "country_code": "US",
            "telephone_number": "757-314-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTANZI",
        "first_name": "VINCENT",
        "middle_name": "NEVIN",
        "credential": "PROPHY TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vincent.n.lattanzi.mil@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "576 Fort Eustis BLVd",
            "city": "fort eustis",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dylan Kordes
• 01/Cathleen Ann Labate, DDS
• Jason C Lacourse, DMD
• Darii Ann Lane, MD
• Shane Lyle Larson, M.D.
• Cara Lawn
• Michael Jeremy Lawson, MD
• Tamar Christine Ledbetter, M.D., MFT
• Jonathan D Lesher
• Francis Michael Licursi, DPT

• Dental Assistant in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Dental Assistant in Virginia

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