Active NPI
John K Legat, D.C, P.C.
- Sports Physician Chiropractor
- Eugene, OR
National Provider Identifier
1063494946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 272750
- Practice address
- 1142 Willagillespie Rd
Suite 10
Eugene, OR 97401-2142 - Phone
- (541) 343-4913
- Fax
- (541) 343-5426
- NPI assigned
- Nov 16, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 272750 | OR | Primary |
Addresses
Primary practice location
1142 Willagillespie Rd
Suite 10
Eugene, OR 97401-2142
Mailing address
3617 Ambleside Dr
Springfield, OR 97477-6736
Phone (541) 736-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1165 Garfield St
Eugene, OR 97402-3550
Phone (541) 343-4913
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272750 | OR | MD | Sports Physician Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063494946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 AMBLESIDE DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974776736",
"telephone_number": "541-736-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 WILLAGILLESPIE RD",
"address_2": "SUITE 10",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012142",
"telephone_number": "541-343-4913",
"fax_number": "541-343-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGAT",
"first_name": "JOHN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C, P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "272750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.