Active NPI
Alexey Borisovich Latsilnik, DMD
- General Practice Dentistry
- Hampton, NH
National Provider Identifier
1871939462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 03897
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212002111 | NH | Order and Referring Only - Dentist | 4082994991 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&T Dental, PLLC | General Practice | Current | Accepting new patients |
| Hampton Cosmetic & Implant Dentistry | General Practice | Past | 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.
-
- General Practice Dentistry
- Dover, NH
- NPI 1710744305
-
- General Practice Dentistry
- Hampton, NH
- NPI 1912195264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.