Individual provider Active NPI

Joal Roger Legaspi, DDS

  • General Practice Dentistry
  • Alhambra, CA
National Provider Identifier
1396402293
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106926 Issued in CA
Practice address
3136 W Main St
Alhambra, CA 91801-1667
Phone
(626) 497-1418
NPI assigned
Nov 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106926 CA Primary

Addresses

Primary practice location

3136 W Main St
Alhambra, CA 91801-1667

Mailing address

3136 W Main St
Alhambra, CA 91801-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106926CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joal Roger Legaspi DDS, Inc CurrentSince Dec 5, 2021 Accepting new patients

Locations

3136 W Main St
Alhambra, CA 91801
Phone (626) 289-2028

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1396402293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011667",
            "telephone_number": "626-497-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "JOAL ROGER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.