Active NPI
Vishaul Anil Latchman, DDS
- Dentist
- New York, NY
National Provider Identifier
1205322013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060612
- Practice address
- 421 1St Ave
New York, NY 10010-4001 - Phone
- (212) 998-9672
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 060612 | NY | Primary |
Addresses
Primary practice location
421 1St Ave
New York, NY 10010-4001
Mailing address
8875 Porter Rd
Niagara Falls, NY 14304-1694
Phone (716) 297-5500
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 |
|---|---|---|---|
| 060612 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1205322013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8875 PORTER RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143041694",
"telephone_number": "716-297-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104001",
"telephone_number": "212-998-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATCHMAN",
"first_name": "VISHAUL",
"middle_name": "ANIL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.