Da Legacy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DA LEGACY LLC

Practice address

899 N Wilmot Rd Ste D5
Tucson, AZ 85711

Phone

(520) 475-7791

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Fitzgerald Henry II

Title

Owner

Phone

(520) 475-7791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1043902620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD STE D5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-475-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD STE D5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-475-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-475-7791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenden Joseph D'Andrea
• Brianna D'Angelo, RN
• Lawrence Patrick D'Antonio II, D.O.
• Karen D'Huyvetter, N.D.
• Alice Mary D'Mowski, RRT
• Lisa Da Silva, LCSW
• Da Vinci Healthcare, Inc.
• Da Vinci Healthcare, Inc.
• Christian Eduardo Daahir, MD
• Sherif Dabash, M.D.

• Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.