Organization Active NPI

Legacy Orthodontics, PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leesburg, VA
National Provider Identifier
1407152457
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401411763 Issued in VA
Legal business name
LEGACY ORTHODONTICS, PLC
Practice address
540 Fort Evans Rd
102
Leesburg, VA 20176-3379
Phone
(703) 777-8277
Fax
(703) 777-8872
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Markus L Niepraschk, DDS,MSNPI 1568638773
Title
Owner
Phone
(703) 777-8277

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401411763 VA Primary

Addresses

Primary practice location

540 Fort Evans Rd
102
Leesburg, VA 20176-3379

Mailing address

540 Fort Evans Rd
102
Leesburg, VA 20176-3379
Phone (703) 777-8277

National Provider Directory

National Provider Directory

Locations

540 Fort Evans Rd
Ste 102
Leesburg, VA 20176
Phone (703) 777-8277

Practitioners & affiliated clinicians

Practitioners 1

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1407152457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FORT EVANS RD",
            "address_2": "102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763379",
            "telephone_number": "703-777-8277",
            "fax_number": "703-777-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FORT EVANS RD",
            "address_2": "102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763379",
            "telephone_number": "703-777-8277",
            "fax_number": "703-777-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ORTHODONTICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "NIEPRASCHK",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-777-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401411763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.