Latedra Collins

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5876 Issued in LA

Practice address

2706 Ryan St
Lake Charles, LA 70601-7328

Phone

(225) 263-6780

NPI assigned

Sep 27, 2007

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1871780403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017328",
            "telephone_number": "816-213-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017328",
            "telephone_number": "225-263-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LATEDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5876",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007021218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tynia M Coleman, M.ED, LPC, NCC
• John Liebert Colligan, M.D.
• Collins Orthopaedics LLC
• Wyllieshia A Collins-Dunbar
• Geneca Collins
• Rozalin Collins
• Sharon A Collins, DO
• Colonnade Endoscopy Center LLC
• Ralph W Colpitts, MD
• Britney Colquitt

• General Practice Dentistry in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.