Enisa Latic, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013433 Issued in NY

Practice address

2709 Genesee St
Utica, NY 13501-6222

Phone

(315) 797-1908

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Mountain Chiropractic, PCGroup PAC ID 1254714967, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountain Chiropractic, P.C

  • Chiropractor
  • Herkimer, NY
  • NPI 1306575907
  Medicare reassignment Care Compare group NPD
• Pure Chiropractic of Utica, PLLC

  • Chiropractor
  • Utica, NY
  • NPI 1225892433
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1881297364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-797-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-797-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIC",
        "first_name": "ENISA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn E Lapolla
• Carol Lareau, FNP
• Edmund L Lasek Jr.
• Michele Lasher, LMSW
• Carol A Lateer, OTR
• Anne Marie Latshaw, SPEECH PATHOLOGIST
• Kyawzay Latt, MD
• Tracy J Latty
• Victoria P Laucello, LCSW
• Rebecca Lavalley, MD

• Chiropractor in Utica, NY
• Providers in Utica, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.