Latanya A O'Neal, (DDS)

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411960 Issued in VA

Practice address

9012 Mathis Ave
Manassas, VA 20110-5218

Phone

(571) 921-1111

Fax

(571) 921-1112

NPI assigned

Feb 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids & Family Dental, P.C.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1689933582
  NPD (past)
• Small Smiles of Manassas, LLC

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1780718676
  NPD (past)

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1255307690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447",
            "fax_number": "719-583-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 MATHIS AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105218",
            "telephone_number": "571-921-1111",
            "fax_number": "571-921-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "LATANYA",
        "middle_name": "A",
        "credential": "(DDS)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012258",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9180172",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822177721A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180172",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian A Nzedu, MD
• Rosemary Nzeogu, CNP
• Sandra C O'Bannon, LPC
• Tinatin Khizanishvili O'Connell, M.D.
• Mary C O'Laughlen, PHD, FNP-BC
• Mackenzie Oakes, PHARM.D., R.PH.
• Alena Joy Oates, CPNP-PC
• OB-GYN Hospitalists of Prince William LLC
• Patricia Obeng, NP
• Chinweuba Obi, D.O

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.