Legacy Family Chiropractic of Nwa LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEGACY FAMILY CHIROPRACTIC OF NWA LLC

Doing business as

Legacy Family Chiropractic

Practice address

4408 W Walnut St Ste 4
Rogers, AR 72756-9606

Phone

(316) 648-5983

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Daniel Robinson, DCNPI 1598129959

Title

Owner

Phone

(316) 648-5983

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Daniel Robinson, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1598129959

  AR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1063110310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 W WALNUT ST STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 W WALNUT ST STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569606",
            "telephone_number": "316-648-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY CHIROPRACTIC OF NWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-648-5983",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598129959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Lee
• Nancy Mary Lee, DPM
• Shawn Lee, DDS
• Taya Kenzie Leech
• Legacy Dental
• Legacy Healthcare Services Inc
• Madison A Lehman
• Daniel A Leis, D.D.S.
• Mary Beth Lenderman
• William R Lenderman, D.D.S.

• Chiropractor in Rogers, AR
• Providers in Rogers, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.