Individual provider Active NPI

Latoya Monek Delaughter, D.D.S

  • Pediatric Dentistry
  • El Paso, TX
National Provider Identifier
1881841153
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
26069 Issued in TX
Practice address
1800 McRae Blvd
El Paso, TX 79925-6706
Phone
(915) 592-4168
Fax
(915) 591-5014
NPI assigned
Aug 19, 2008
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 018.001612 IL
Pediatric Dentistry 1223P0221X 26069 TX Primary

Addresses

Primary practice location

1800 McRae Blvd
El Paso, TX 79925-6706

Mailing address

2240 Whites Mill Rd
Decatur, GA 30032-5613
Phone (615) 260-7085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
018.001612ILMDPediatric Dentist
26069TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambrose Pediatric Dentistry of Warner Robins, LLC Past Accepting new patients
Briggs & Fosbury, P.a. Pediatric Dentistry 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1881841153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 WHITES MILL RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325613",
            "telephone_number": "615-260-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCRAE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256706",
            "telephone_number": "915-592-4168",
            "fax_number": "915-591-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAUGHTER",
        "first_name": "LATOYA",
        "middle_name": "MONEK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "018.001612",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.