John E Latz MD PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

182937 Issued in NC

Legal business name

JOHN E LATZ MD PLLC

Practice address

108 Essex CT
Mooresville, NC 28117-6015

Phone

(704) 662-3270

Fax

(866) 824-9879

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

John Edward Latz, M.D.

Title

Member/Manager

Phone

(704) 662-3270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1649533456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ESSEX CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176015",
            "telephone_number": "704-662-3270",
            "fax_number": "866-824-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ESSEX CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176015",
            "telephone_number": "704-662-3270",
            "fax_number": "866-824-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E LATZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "LATZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "704-662-3270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "182937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashonda Trinette Jean, RN
• Thomas Edward Jenike, M.D.
• Kristin Jenkins
• Melodee Jensen, LCMHC-A
• Jireh Providers L.L.C
• Brittany Evelyn Johnson, C.P.
• Chantel Vantrice Johnson
• Emily Lynne Johnson
• John Anthony Johnson, D.M.D., M.D.
• Kimberly L Johnson, NP

• Adult Mental Health Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.