Christina Jacquelin Legradi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D.007299-C1 Issued in AL

Practice address

1605 Cogswell Ave
Pell City, AL 35125-1644

Phone

(205) 884-2370

NPI assigned

Jun 27, 2022

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pell City Dental Center, P.C.

  • General Practice Dentistry
  • Pell City, AL
  • NPI 1700916608
  NPD (past)
• Cortez Dentistry, PLLC

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1861357444
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1184356404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251644",
            "telephone_number": "205-884-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251644",
            "telephone_number": "205-884-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRADI",
        "first_name": "CHRISTINA",
        "middle_name": "JACQUELIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27153",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27153",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007299-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leaps Academy Inc
• Anna Leduc
• Denise Lee, EDS, LPC, NCC
• Mary Lee, LCSW
• Michael Lee, PH.D.
• Claire Deshazer Leverton, D.M.D.
• David Sidney Lewis, MD
• Life Recovery Counseling, LLC
• Jessica Coe Lockhart, DNP
• Brooke Lowery

• Dentist in Pell City, AL
• Providers in Pell City, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.