Lawrence R Leggieri Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS-027476-L Issued in PA

Practice address

929 Lycoming Mall Dr
Pennsdale, PA 17756-7837

Phone

(570) 546-8888

Fax

(570) 546-7053

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Apple Dental, PC

  • General Practice Dentistry
  • Pennsdale, PA
  • NPI 1508186545
  NPD (past) Authorized official
• Apple Dental Associate

  • General Practice Dentistry
  • Pennsdale, PA
  • NPI 1316616493
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467678235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 LYCOMING MALL DR",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177567837",
            "telephone_number": "570-546-8888",
            "fax_number": "570-546-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 LYCOMING MALL DR",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177567837",
            "telephone_number": "570-546-8888",
            "fax_number": "570-546-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGIERI",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-027476-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drug Testing Centers of America-Pennsdale
• Dan Egli, PH.D.
• Families United Network Inc
• Families United Network, Inc.
• Gabriel Jay Johnson, O.D.
• Luxottica Retail North America Inc
• Muncy Family Practice
• Muncy Family Practice LLC
• Muncy Township Volunteer Fire
• Muncy Township Volunteer Fire

• Dentist in Pennsdale, PA
• Providers in Pennsdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.