Individual provider Active NPI

Latoya King

  • Prosthetics Case Management
  • Little Elm, TX
National Provider Identifier
1356908255
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
1685607 Issued in TX
Practice address
2705 Little Elm Pkwy Ste 180
Little Elm, TX 75068-6698
Phone
(972) 804-2429
Fax
(877) 899-2601
NPI assigned
May 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X 1685607 TX Primary

Addresses

Primary practice location

2705 Little Elm Pkwy Ste 180
Little Elm, TX 75068-6698

Mailing address

200B Castleridge Dr
Little Elm, TX 75068-5527
Phone (972) 804-2429

Other identifiers 1

IdentifierTypeStateIssuer
1685607OtherTXPROSTHETIC SPECIALIST

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

LicenseStateTypeSpecialty
1685607TXMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1356908255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200B CASTLERIDGE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685527",
            "telephone_number": "972-804-2429",
            "fax_number": "877-899-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 LITTLE ELM PKWY STE 180",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686698",
            "telephone_number": "972-804-2429",
            "fax_number": "877-899-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LATOYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1685607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIC SPECIALIST",
            "identifier": "1685607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.