Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669456364 Individual Practitioner Female Practitioner

Dr. Latasha Vick , DDS

Dentist - General Practice • Baxter Springs, KS

Professional Overview & Biography Verified Profile Summary

Dr. Latasha Vick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Baxter Springs, KS. Practice services are available at 2990 MILITARY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2990 Military Ave

Baxter Springs, KS 667132331

Telephone 6208562900
Fax 6208562901
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baxter Springs, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Baxter Springs, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 61068

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OK 1061723

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OK 1061723

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200022980B (OK)
Medicaid State Provider ID
200022980C (OK)
Commercial Insurance / Payer ID Pa License
1061723 (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Jeanna Keizer , RDH

Dental Hygienist

NPI 1083048342

Registered Dental Hygienist

Lydia Mccoy , RDH

Dental Hygienist

NPI 1194101568

Registered Dental Hygienist

Jamie Lundy

Dentist - General Practice

NPI 1205275559
Jenny Simpson , LMSW

Social Worker - Clinical

NPI 1265005029

Licensed Master Social Worker

Robert Mcelwee , LCMFT

Marriage & Family Therapist

NPI 1275950537
Dr. Saher Ahmed , DDS

Dentist - General Practice

NPI 1356775696

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active August 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2013

Registered at 2990 MILITARY AVE, BAXTER SPRINGS, KS 667132331 (Tel: 6208562900)

📍
Updated Business Mailing Address August 20, 2013

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546 (Tel: 6202319873)

👤
Provider Name / Credentials Updated August 20, 2013

Recorded as LATASHA VICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2013

Dentist (License #61068 in KS)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2013

Physician Assistant (License #1061723 in OK)

🟢
Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669456364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2005
Last Update: August 20, 2013
Sole Proprietor: No

Mailing Address

3011 N Michigan St

Pittsburg, KS 667622546

Phone: 6202319873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.