Jennifer Latsko, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.026934 Issued in OH

Practice address

10 W Main St
Seville, OH 44273-8851

Phone

(330) 769-2918

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896

  OH

  Medicare reassignment NPD
• Chippewa Creek Dental

  • General Practice Dentistry
  • Seville, OH
  • NPI 1639851629

  General Practice

  NPD
• Chippewa Creek Dental-DRS. Siefker and Jacko DDS, LLC

  • Dental Clinic/Center
  • Seville, OH
  • NPI 1932727773
  NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Jacko & Siefker DDS, LLC

  • Dental Clinic/Center
  • Wellington, OH
  • NPI 1245858083
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1285218586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16087 BRINBOURNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441305424",
            "telephone_number": "440-668-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MAIN ST",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442738851",
            "telephone_number": "330-769-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Heritage Dr",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "OH",
            "postal_code": "440908949",
            "country_code": "US",
            "telephone_number": "440-647-2752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061702",
            "country_code": "US",
            "telephone_number": "216-791-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATSKO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MV Seville SNF LLC

• All providers in Seville, OH
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.