Active NPI
Latoya Harris, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1730778366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14610
- Practice address
- 222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512 - Phone
- (972) 768-4097
- NPI assigned
- Jan 18, 2021
- Last updated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14610 | TX | Primary |
Addresses
Primary practice location
222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512
Mailing address
3212 Discovery Dr
Oak Point, TX 75068-0709
Phone (972) 768-4097
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14610 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blueprint: a Body Lab LLC | Chiropractor | Current | Accepting new patients |
Locations
222 W Jefferson Blvd
Ste C
Dallas, TX 75208
Phone (972) 768-4097
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": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1730778366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 DISCOVERY DR",
"city": "OAK POINT",
"state": "TX",
"postal_code": "750680709",
"telephone_number": "972-768-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W JEFFERSON BLVD STE C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084512",
"telephone_number": "972-768-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LATOYA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.