Legacy Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEGACY CHIROPRACTIC LLC

Practice address

750 Schneider Dr Ste 170
Cibolo, TX 78108-3360

Phone

(210) 566-7873

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Jeffrey A Lee SangNPI 1275223760

Title

Owner

Phone

(210) 589-0714

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PURE HEALTH AND WELLNESS CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Augustin Lee Sang, DC

  • Chiropractor
  • Cibolo, TX
  • NPI 1275223760
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel J Maire, D.C.

  • Chiropractor
  • Cibolo, TX
  • NPI 1346354628
  Medicare reassignment Care Compare group NPD
• Daniel Park, DC

  • Chiropractor
  • Cibolo, TX
  • NPI 1003706482
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1194412288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SCHNEIDER DR STE 170",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083360",
            "telephone_number": "210-566-7873",
            "fax_number": "210-566-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SCHNEIDER DR STE 170",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083360",
            "telephone_number": "210-566-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE SANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-589-0714"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM",
            "identifier": "1346354628",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE HEALTH AND WELLNESS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Krueger
• Baylee Kuhlmann
• Stacy Larson
• Laurie Obrien LPC PLLC
• Jeffrey Augustin Lee Sang, DC
• Andres Leyva, LCSW
• Little Bridge Behavioral Health LLC
• Veronica Lopez, LVN
• Virginia Lopez, DDS
• Amber Michelle Luckemeyer

• Chiropractor in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.