NPIMap

Organization Active NPI

Penelope Leggott DDS, Ms

  • Dental Clinic/Center
  • Mount Vernon, WA
National Provider Identifier
1083093371
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7102 Issued in WA
Legal business name
PENELOPE LEGGOTT DDS, MS
Practice address
2210 Kulshan View Dr
Mount Vernon, WA 98273-2779
Phone
(360) 424-3811
Fax
(360) 424-8703
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Penelope Leggott, DDS, MS
Title
Dentist
Phone
(360) 424-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7102 WA Primary

Addresses

Primary practice location

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779

Mailing address

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779
Phone (360) 424-3811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1083093371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811",
            "fax_number": "360-424-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811",
            "fax_number": "360-424-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE LEGGOTT DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "LEGGOTT",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-424-3811",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.