Individual provider Active NPI

James Latinis, DDS

  • General Practice Dentistry
  • Clinton TWP, MI
National Provider Identifier
1619021821
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16106 Issued in MI
Practice address
44250 Garfield Rd Ste 100
Clinton TWP, MI 48038-7422
Phone
(586) 228-6650
Fax
(586) 228-6653
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 16106 MI Primary

Addresses

Primary practice location

44250 Garfield Rd Ste 100
Clinton TWP, MI 48038-7422

Mailing address

44250 Garfield Rd Ste 100
Clinton Township, MI 48038-7422
Phone (586) 228-6650

Other identifiers 2

IdentifierTypeStateIssuer
BLUE CROSS BLUE SHIEOtherMID8044703
UNITED CONCORDIAOther817489

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
16106MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1619021821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD STE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387422",
            "telephone_number": "586-228-6650",
            "fax_number": "586-228-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD STE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480387422",
            "telephone_number": "586-228-6650",
            "fax_number": "586-228-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D8044703",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "817489",
            "identifier": "UNITED CONCORDIA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.