DR. NATOLYA LATRESE THOMAS D.D.S
NPI 1477861680
Dentist in Chicago, IL

Active since September 22, 2010PECOS Enrolled
9718 S HALSTED ST, CHICAGO, IL 60628(773) 233-4100 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Natolya Latrese Thomas D.d.s NPPES

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

DR. NATOLYA LATRESE THOMAS D.D.S (NPI 1477861680) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.028365) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1477861680
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NATOLYA LATRESE THOMASCredential: D.D.S
Location Address9718 S HALSTED STChicago, IL 60628-1007
Mailing Address9718 S Halsted StChicago, IL 60628-1007 · (773) 233-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 22, 2010
Last NPPES UpdateApril 19, 2013
NPI 1477861680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.028365
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.

9718 S HALSTED ST, Chicago, IL 60628

Accepted Insurance

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. Natolya Latrese Thomas D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800251570
PECOS Enrollment IDI20250704000411
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 60628 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

Clinic/Center (Community Health)
9718 S HALSTED ST
CHICAGO, IL 60628
Pharmacy (Community/Retail Pharmacy)
9718 S HALSTED ST
CHICAGO, IL 60628
Dentist
9718 S HALSTED ST
CHICAGO, IL 60628
Pharmacy (Community/Retail Pharmacy)
9718 S HALSTED ST
CHICAGO, IL 60628
Nurse Practitioner (Family)
9718 S HALSTED ST
CHICAGO, IL 60628
Social Worker (Clinical)
9718 S HALSTED ST
CHICAGO, IL 60628
Internal Medicine
9718 S HALSTED ST
CHICAGO, IL 60628
Pharmacy (Community/Retail Pharmacy)
9718 S HALSTED ST
CHICAGO, IL 60628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477861680, enumerated as an "individual" on September 22, 2010.

The provider is located at 9718 S HALSTED ST CHICAGO, IL 60628 and the phone number is (773) 233-4100.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.