Organization Active NPI

J. Randall Latta, DDS & Associates, PA

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1427226984
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4081 Issued in NC
Legal business name
J. RANDALL LATTA, DDS & ASSOCIATES, PA
Practice address
3179 Sweeten Creek Rd
Suite D
Asheville, NC 28803-2115
Phone
(252) 305-1286
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. J. Randall Latta, DDS
Title
President
Phone
(252) 305-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4081 NC Primary

Addresses

Primary practice location

3179 Sweeten Creek Rd
Suite D
Asheville, NC 28803-2115

Mailing address

PO Box 1110
Asheville, NC 28802-1110
Phone (252) 305-1286

Other identifiers 1

IdentifierTypeStateIssuer
89-95125MedicaidNC

National Provider Directory

National Provider Directory

Locations

3179 Sweeten Creek Rd
Ste D
Asheville, NC 28803
Phone (252) 305-1286

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1427226984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288021110",
            "telephone_number": "252-305-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 SWEETEN CREEK RD",
            "address_2": "SUITE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032115",
            "telephone_number": "252-305-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RANDALL LATTA, DDS & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-305-1286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-95125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.