Individual provider Active NPI

Alexey Borisovich Latsilnik, DMD

  • General Practice Dentistry
  • Hampton, NH
National Provider Identifier
1871939462
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03897 Issued in NH
Practice address
321 Lafayette Rd
Unit B
Hampton, NH 03842-2158
Phone
(603) 929-3969
Fax
(603) 929-3997
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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 03897 NH Primary

Addresses

Primary practice location

321 Lafayette Rd
Unit B
Hampton, NH 03842-2158

Mailing address

321 Lafayette Rd
Unit B
Hampton, NH 03842-2158
Phone (603) 929-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212002111 NH Order and Referring Only - DentistPractitioner - Dentist 4082994991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L&T Dental, PLLC General Practice Current Accepting new patients
Hampton Cosmetic & Implant Dentistry General Practice PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1871939462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LAFAYETTE RD",
            "address_2": "UNIT B",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422158",
            "telephone_number": "603-929-3969",
            "fax_number": "603-929-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LAFAYETTE RD",
            "address_2": "UNIT B",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422158",
            "telephone_number": "603-929-3969",
            "fax_number": "603-929-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSILNIK",
        "first_name": "ALEXEY",
        "middle_name": "BORISOVICH",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.