Organization Active NPI

Kennedy Legel, DPM, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1457785412
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KENNEDY LEGEL, DPM, PLLC
Practice address
4228 N Central Expy Ste 210
Dallas, TX 75206-6556
Phone
(214) 366-4600
Fax
(214) 366-4603
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Kennedy Legel, DPMNPI 1558500801
Title
Owner
Phone
(214) 366-4600

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4228 N Central Expy Ste 210
Dallas, TX 75206-6556

Mailing address

4228 N Central Expy Ste 210
Dallas, TX 75206-6556
Phone (214) 366-4600

Other names 1

  • Advanced Foot & Ankle Care Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140520001738 TX Part B Supplier - Clinic/Group Practice 8426271420 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX
O20140530000073 TX DME Supplier - Physician - Podiatry 8426271420 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3131 Turtle Creek Blvd
Ste 850
Dallas, TX 75219
Phone (214) 366-4600

4228 N Central Expy
Ste 210
Dallas, TX 75206
Phone (214) 366-4600

3131 Turtle Creek Blvd
Ste 214
Dallas, TX 75219
Phone (214) 366-4600

Practitioners & affiliated clinicians

Practitioners 3

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": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1457785412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY LEGEL, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LEGEL",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-366-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot & Ankle Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Foot & Ankle Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.