Jeffrey Leggett, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019031138 Issued in IL

Practice address

1448 W Fillmore St Unit 2
Chicago, IL 60607-4616

Phone

(828) 442-3521

Fax

(828) 442-3521

NPI assigned

Mar 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 8, 2021 through Jul 8, 2027

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.

• Douglas J McNaught D D S P a

  dba Long Lake Dental

  • Dentist
  • Long Lake, MN
  • NPI 1053585653
  NPD (past)

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295276541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 STERLING CIR",
            "address_2": "APT 207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892119",
            "telephone_number": "828-442-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 W FILLMORE ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074616",
            "telephone_number": "828-442-3521",
            "fax_number": "828-442-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "HAVE NOT RECEIVED",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saul David Legator, DDS
• Legend Dental Inc
• Legend Home Health LLC (Legend Home Health)
• Legendary Chiropractic (Universal Wellness Roscoe Village)
• Anneliese Nicole Legge, BCBA
• Kyle Leggett
• Danielle Rachel Legrand, APRN, CNP
• Lehigh Dental Care
• Brenda Lehman, PH.D.
• Kenneth Andrew Lehman, PH.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.