Individual provider Active NPI

Tamara Latif, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stow, OH
National Provider Identifier
1477129146
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.026393 Issued in OH
Practice address
4466 Darrow Rd Ste 23
Stow, OH 44224-1891
Phone
(330) 800-0089
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30.026393 OH Primary

Addresses

Primary practice location

4466 Darrow Rd Ste 23
Stow, OH 44224-1891

Mailing address

4466 Darrow Rd Ste 23
Stow, OH 44224-1891
Phone (330) 800-0089

Other practice location 1

9700 Ravenna Rd
Twinsburg, OH 44087-2144
Phone (330) 888-1504

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
30.026393OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
T Latif LLC Orthodontics and Dentofacial Orthopedics CurrentSince Feb 23, 2025 Accepting new patients
Dr. Kates Premier Smiles Orthodontics Inc Orthodontics and Dentofacial Orthopedics PastSince Jun 1, 2021 Accepting new patients

Locations

4466 Darrow Rd
Ste 23
Stow, OH 44224
Phone (330) 688-0888

9700 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 888-1504

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1477129146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD STE 23",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241891",
            "telephone_number": "330-800-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD STE 23",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241891",
            "telephone_number": "330-800-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 Ravenna Rd",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440872144",
            "country_code": "US",
            "telephone_number": "330-888-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIF",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.026393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.