1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Dentist
  6. NPI Profile

DR. GARY M LATHAM DDS
NPI 1174610059
Dentist in Santa Rosa, CA

Active since October 10, 2006PECOS Enrolled
1260 N DUTTON AVE, #290, SANTA ROSA, CA 95401(707) 527-7400(707) 527-7427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary M Latham Dds NPPES

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

DR. GARY M LATHAM DDS (NPI 1174610059) is an individual dentist in Santa Rosa, California, licensed in California (25570) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174610059
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GARY M LATHAMCredential: DDS
Location Address1260 N DUTTON AVE, #290Santa Rosa, CA 95401-4659
Mailing Address1260 N Dutton Ave, #290Santa Rosa, CA 95401-4659 · (707) 527-7400 · Fax (707) 527-7427
Phone(707) 527-7400
Fax(707) 527-7427
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174610059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 25570
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1260 N DUTTON AVE, Santa Rosa, CA 95401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary M Latham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

BARRY G PIERCE M.D.
Psychiatry & Neurology (Psychiatry)
1260 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 525-9045
DR. RICHARD P. OLCESE PSY.D
Clinical Neuropsychologist
1260 N DUTTON AVE, SUITE 245
SANTA ROSA, CA 95401
Sonoma County (707) 570-0803
NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION
Ophthalmology
1260 N DUTTON AVE, SUITE 160
SANTA ROSA, CA 95401
Sonoma County (707) 524-2442
TARI WEBBER PSY.D
Psychologist
1260 N DUTTON AVE, SUITE 225
SANTA ROSA, CA 95401
Sonoma County (707) 340-3650
DR. ALLISON FARIS PSY.D.
Psychologist
1260 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 526-5424
LISA ROSEQUIST
Psychologist (Clinical)
1260 N DUTTON AVE, SUITE 225
SANTA ROSA, CA 95401
Sonoma County (619) 917-8858
PETER BEHEL
Behavior Analyst
1260 N DUTTON AVE, 175
SANTA ROSA, CA 95401
Sonoma County (707) 579-7982
DR. SEAN AVILA SAITER PHD
Student in an Organized Health Care Education/Training Program
1260 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 526-5424

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 Gary Latham's NPI number?

The NPI number for Gary Latham is 1174610059. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Gary Latham located?

Gary Latham practices at 1260 N Dutton Ave #290, Santa Rosa, CA 95401. The listed phone number is (707) 527-7400.

What is Gary Latham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gary Latham enrolled in Medicare?

Yes. Gary Latham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Latham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.