Individual provider Active NPI

John Marc Legere, D.C.

  • Chiropractor
  • King of Prussia, PA
National Provider Identifier
1144468588
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010058 Issued in PA
Practice address
357 S Gulph Rd
Suite 310
King of Prussia, PA 19406-3174
Phone
(610) 265-2230
Fax
(717) 397-0276
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AJ009873 PA
Chiropractor 111N00000X DC010058 PA Primary

Addresses

Primary practice location

357 S Gulph Rd
Suite 310
King of Prussia, PA 19406-3174

Mailing address

1523 Canyon Dr
Downingtown, PA 19335-4302
Phone (717) 490-5927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000041 PA Practitioner - Chiropractic 6507922341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

357 S Gulph Rd
Suite 310
King of Prussia, PA 19406-3136
Phone (610) 265-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ009873PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC Chiropractor CurrentSince Mar 12, 2018 Accepting new patients
Integrated Physical Therapy, LLC CurrentSince Apr 1, 2023 Accepting new patients
Wenger Chiropractic Group Chiropractor PastSince Nov 13, 2019 Accepting new patients
Roy M Lerman MD PC Past Accepting new patients

Locations

83 Dowlin Forge Rd
Exton, PA 19341
Phone (610) 363-9060

700 S Henderson Rd
Ste 300A
King of Prussia, PA 19406
Phone (610) 337-0427

357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1144468588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CANYON DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354302",
            "telephone_number": "717-490-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD",
            "address_2": "SUITE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063174",
            "telephone_number": "610-265-2230",
            "fax_number": "717-397-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGERE",
        "first_name": "JOHN",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009873",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.

Verify at the official NPI Registry.