Chad Latino DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20206 Issued in TX

Legal business name

CHAD LATINO DDS PA

Practice address

6701 Sanger Ave
Suite 101
Waco, TX 76710-7736

Phone

(254) 776-6241

Fax

(254) 776-6017

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kisha Lane

Title

Manager

Phone

(254) 776-6241

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad J Latino, D.D.S

  • General Practice Dentistry
  • Waco, TX
  • NPI 1619196581
  NPD

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1265874002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SANGER AVE",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107736",
            "telephone_number": "254-776-6241",
            "fax_number": "254-776-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SANGER AVE",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107736",
            "telephone_number": "254-776-6241",
            "fax_number": "254-776-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD LATINO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-776-6241"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Texas Urologic Associates, P.a. (Central Texas Urology)
• Central Texas Womens Care PA
• Cernosek Chiropractic. P.C.
• Craig Eric Cernosek, D.C.
• Kimberly Ceyanes, PA-C
• Katrina Chadwell
• Amy Chadwick, COTA
• Youngsook Chae
• Carena Lee Chai, D.O.
• Carl G Chakmakjian, D.O.

• General Practice Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.