Organization Active NPI

Legacy Dental Associates, P.C.

  • Customized Equipment (DME)
  • Frisco, TX
National Provider Identifier
1275981128
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
16015 Issued in TX
Legal business name
LEGACY DENTAL ASSOCIATES, P.C.
Practice address
4851 Legacy Dr
Suite 201
Frisco, TX 75034-0816
Phone
(972) 335-9313
NPI assigned
Jun 1, 2016
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Lyndsay Jarrell
Title
Office Manager
Phone
(972) 335-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 16015 TX Primary

Addresses

Primary practice location

4851 Legacy Dr
Suite 201
Frisco, TX 75034-0816

Mailing address

4851 Legacy Dr
Suite 201
Frisco, TX 75034-0816
Phone (972) 335-9313

National Provider Directory

National Provider Directory

Locations

4851 Legacy Dr
Ste 201
Frisco, TX 75034
Phone (972) 335-9313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1275981128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 LEGACY DR",
            "address_2": "SUITE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340816",
            "telephone_number": "972-335-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 LEGACY DR",
            "address_2": "SUITE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340816",
            "telephone_number": "972-335-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "LYNDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-335-9313"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "16015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.