Organization Active NPI

Larry L Legum MD LTD

  • Dermatology Physician
  • Chesapeake, VA
National Provider Identifier
1003117201
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LARRY L LEGUM MD LTD
Practice address
113 Coastal Way
Chesapeake, VA 23320-4603
Phone
(757) 547-9401
NPI assigned
Nov 4, 2010
Organization subpart
Yes
Parent organization
LARRY L LEGUM MD LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Larry L Legum
Title
President
Phone
(757) 547-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

113 Coastal Way
Chesapeake, VA 23320-4603

Mailing address

113 Coastal Way
Chesapeake, VA 23320-4603

National Provider Directory

National Provider Directory
Part of
Larry L Legum MD LTD

Locations

113 Coastal Way
Chesapeake, VA 23320
Phone (757) 461-1103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1003117201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COASTAL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COASTAL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204603",
            "telephone_number": "757-547-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY L LEGUM MD LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY L LEGUM MD LTD",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-547-9401",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.