Latoi Raphael Thomas, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019028142 Issued in IL

Practice address

430 Dixie Hwy
Chicago Heights, IL 60411-1799

Phone

(708) 808-4950

NPI assigned

Feb 5, 2010

Last updated

Nov 13, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Smile Center Corporation

  • Dentist
  • Chicago Heights, IL
  • NPI 1215559893
  NPD Authorized official
• The Heart That Smiles Mobile Dentists

  • Dentist
  • Homewood, IL
  • NPI 1407112980
  Authorized official Same address or phone

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1942532692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HICKORY CT",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095013",
            "telephone_number": "312-391-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111799",
            "telephone_number": "708-808-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATOI",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrien Teverbaugh
• The Smile Center Corporation
• The Thresholds (South Suburbs Chicago Heights)
• Alexis S Thomas
• Joyce T Thomas
• Dwight E Thompson, DDS
• Thornton Heights Terrace LTD
• Lashawnda Thornton, LCSW
• Toi Thorpe
• John Tibble, D.O

• Dentist in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.