Active NPI
Paul J. Legunn, D.D.S.
- Endodontics
- New City, NY
National Provider Identifier
1144316852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36233
- Practice address
- 345 North Main Street
New City, NY 10956-4305 - Phone
- (845) 634-7696
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36233 | NY | Primary |
Addresses
Primary practice location
345 North Main Street
New City, NY 10956-4305
Mailing address
345 North Main Street
New City, NY 10956-4305
Phone (845) 634-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36233 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144316852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 NORTH MAIN STREET",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564305",
"telephone_number": "845-634-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTH MAIN STREET",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564305",
"telephone_number": "845-634-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGUNN",
"first_name": "PAUL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "36233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.