NPIMap

Individual provider Active NPI

David Allen Latham, M.D.

  • Family Medicine Physician
  • Fairfield, TX
National Provider Identifier
1992986368
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9440 Issued in TX
Practice address
125 Newman St
Fairfield, TX 75840-1419
Phone
(903) 644-6652
Fax
(903) 644-1604
NPI assigned
Nov 14, 2007
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9440 TX Primary
Emergency Medicine Physician 207P00000X M9440 TX
Family Medicine Physician 207Q00000X 25781 OK

Addresses

Primary practice location

125 Newman St
Fairfield, TX 75840-1419

Mailing address

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 644-6652

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25781OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Park Hudson PLLC Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Lagrange-True Texas Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Bonner Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fmcdlatha@yourcarecommunity.org

Organizations & group practices 5

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1992986368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEWMAN ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401419",
            "telephone_number": "903-644-6652",
            "fax_number": "903-644-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEWMAN ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401419",
            "telephone_number": "903-644-6652",
            "fax_number": "903-644-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9440",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M9440",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.