NPIMap

Organization Active NPI

Legacy Integrative Health

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1386101855
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LEGACY INTEGRATIVE HEALTH
Practice address
8900 Ohio Dr Ste B
Plano, TX 75024-2262
Phone
(469) 362-8701
Fax
(469) 562-0059
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Dr. Logan J Mills, DCNPI 1356740740
Title
Owner
Phone
(469) 362-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8900 Ohio Dr Ste B
Plano, TX 75024-2262

Mailing address

8900 Ohio Dr Ste B
Plano, TX 75024-2262
Phone (469) 362-8701

Other identifiers 3

IdentifierTypeStateIssuer
1356740740MedicaidTX
1477679926MedicaidTX
1710008966MedicaidTX

National Provider Directory

National Provider Directory

Locations

8900 Ohio Dr
Ste B
Plano, TX 75024
Phone (469) 362-8701

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1386101855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 OHIO DR STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242262",
            "telephone_number": "469-362-8701",
            "fax_number": "469-562-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 OHIO DR STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242262",
            "telephone_number": "469-362-8701",
            "fax_number": "469-562-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-362-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356740740",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477679926",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710008966",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.