Individual provider Active NPI

Latosha Denise Harris, DMD

  • General Practice Dentistry
  • Hiawassee, GA
National Provider Identifier
1386121671
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015682 Issued in GA
Practice address
19 S Main St
Hiawassee, GA 30546-3433
Phone
(706) 896-1204
NPI assigned
Jul 19, 2018
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015682 GA Primary

Addresses

Primary practice location

19 S Main St
Hiawassee, GA 30546-3433

Mailing address

6 Porter St SW
Rome, GA 30161-4569
Phone (706) 728-6423

Other names 1

  • Dr. Latosha Denise Harris Professional name

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
DN015682GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawassee Family Dental, LLC General Practice PastSince Nov 5, 2023 Accepting new patients
Worthy Family Dentistry, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1386121671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PORTER ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614569",
            "telephone_number": "706-728-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463433",
            "telephone_number": "706-896-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LATOSHA",
        "middle_name": "DENISE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOSHA",
            "last_name": "HARRIS",
            "middle_name": "DENISE",
            "prefix": "DR.",
            "credential": "LATOSHA HARRIS, DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hiawassee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.