Individual provider Active NPI

Amal Lattouf, D.M.D

  • Dentist
  • Fairfield, CT
National Provider Identifier
1962951772
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13422 Issued in CT
Practice address
1478 Post Rd
Fairfield, CT 06824-5938
Phone
(646) 692-6670
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50-058814 NY
Dentist 122300000X 13422 CT Primary

Addresses

Primary practice location

1478 Post Rd
Fairfield, CT 06824-5938

Mailing address

10 Keelers Ridge Rd
Wilton, CT 06897-1607
Phone (404) 543-6677

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
50-058814NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Latooth Dentistry PC Dentist Current Accepting new patients

Locations

200 Central Park S
Apt 211
New York, NY 10019
Phone (212) 307-1703

Organizations & group practices 1

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1962951772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KEELERS RIDGE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971607",
            "telephone_number": "404-543-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245938",
            "telephone_number": "646-692-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTOUF",
        "first_name": "AMAL",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50-058814",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.