DR. LATRISHA ILAS DDS
NPI 1053084764
Dentist - General Practice in San Jose, CA

Q: What is Latrisha Ilas's NPI number?

The NPI number for Latrisha Ilas is 1053084764. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Q: What is Latrisha Ilas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Latrisha Ilas was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2021

1206 N CAPITOL AVE STE 101, SAN JOSE, CA 95132(408) 928-1450(408) 928-1454 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Latrisha Ilas Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LATRISHA ILAS DDS (NPI 1053084764) is an individual general practice provider in San Jose, California, licensed in California (106463) and active in the NPI registry since July 2021. She maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1053084764

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LATRISHA ILASCredential: DDS

Location Address1206 N CAPITOL AVE STE 101San Jose, CA 95132-2572

Mailing Address1206 N Capitol Ave Ste 101San Jose, CA 95132-2572 · (408) 928-1450 · Fax (408) 928-1454

Phone(408) 928-1450

Fax(408) 928-1454

Sole ProprietorNo

Enumeration DateJuly 28, 2021

NPPES CertifiedJuly 26, 2021

✔ NPI 1053084764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 106463

Definition

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.

1206 N CAPITOL AVE STE 101, San Jose, CA 95132

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Secondary Practice Location 1

Location 12030 Diamond Blvd Ste 25Concord, CA 94520-5753 · Phone (925) 687-8000 · Fax (925) 687-8223

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA ILAS DDS

Dentist (General Practice)

1206 N CAPITOL AVE STE 101
SAN JOSE, CA 95132

Santa Clara County (408) 928-1450

COLIN S. ILAS D.D.S.

Dentist (General Practice)

1206 N CAPITOL AVE STE 101
SAN JOSE, CA 95132

Santa Clara County (408) 928-1450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latrisha Ilas's NPI number?

The NPI number for Latrisha Ilas is 1053084764. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Latrisha Ilas located?

Latrisha Ilas practices at 1206 N Capitol Ave Ste 101, San Jose, CA 95132. The listed phone number is (408) 928-1450.

What is Latrisha Ilas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Latrisha Ilas was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.