Organization Active NPI

Dr. Debra K. Latta, LLC

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1386964120
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002939 Issued in OH
Legal business name
DR. DEBRA K. LATTA, LLC
Practice address
960 S Brinker Ave
Columbus, OH 43204-1724
Phone
(614) 668-8542
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Debra K. Latta, DPM
Title
Ceo
Phone
(614) 893-8437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002939 OH Primary

Addresses

Primary practice location

960 S Brinker Ave
Columbus, OH 43204-1724

Mailing address

1799 W 5TH Ave
Suite 103
Columbus, OH 43212-2322
Phone (614) 893-8437

National Provider Directory

National Provider Directory

Locations

11274 US Highway 23
Lockbourne, OH 43137
Phone (740) 983-6542

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1386964120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 W 5TH AVE",
            "address_2": "SUITE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122322",
            "telephone_number": "614-893-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S BRINKER AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041724",
            "telephone_number": "614-668-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEBRA K. LATTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-893-8437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.