Mark Legan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8931 Issued in MN

Practice address

1004 Glen Paul CT
Shoreview, MN 55126-8113

Phone

(651) 490-1158

NPI assigned

Mar 4, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mark Legan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1013281302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 GLEN PAUL CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GLEN PAUL CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268113",
            "telephone_number": "651-490-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGAN",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LEGAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maryanne Anne Lassegard, PH.D LP
• Katherine Elizabeth Lazenby, PT
• Barbara Ann Leafblad, RN-CNM
• Danielle S Leddy, SLP
• Carol Yeh Lee, MD
• Lucia Jane Lein, D.C.
• Alexie Ann Leitner, PA
• Lisa Lemay, MS, LAMFT
• Laney Lemere, CCC-SLP
• Melissa Lenz

• General Practice Dentistry in Shoreview, MN
• Providers in Shoreview, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.