Organization Active NPI

Latha Voladri D.D.S,L.LC

  • Dental Clinic/Center
  • Passaic, NJ
National Provider Identifier
1831436328
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02295900 Issued in NJ
Legal business name
LATHA VOLADRI D.D.S,L.LC
Practice address
641 Main Ave
Passaic, NJ 07055-4919
Phone
(973) 815-0515
Fax
(973) 916-0280
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Latha Voladri, D.D.S
Title
Dentist
Phone
(973) 815-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02295900 NJ Primary

Addresses

Primary practice location

641 Main Ave
Passaic, NJ 07055-4919

Mailing address

641 Main Ave
Passaic, NJ 07055-4919
Phone (973) 815-0515

National Provider Directory

National Provider Directory

Locations

641 Main Ave
Passaic, NJ 07055
Phone (973) 291-3640

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1831436328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554919",
            "telephone_number": "973-815-0515",
            "fax_number": "973-916-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554919",
            "telephone_number": "973-815-0515",
            "fax_number": "973-916-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHA VOLADRI D.D.S,L.LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "VOLADRI",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-815-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02295900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.