Organization Active NPI

Legacy Chiropractic and Sports Medicine

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1508103722
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11999 Issued in TX
Legal business name
LEGACY CHIROPRACTIC AND SPORTS MEDICINE
Practice address
17766 Preston Rd
Dallas, TX 75252-5736
Phone
(469) 343-4202
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Dr. Amy R Lewis, DCNPI 1780947580
Title
Owner/Chiropractor
Phone
(469) 343-4202

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11999 TX Primary

Addresses

Primary practice location

17766 Preston Rd
Dallas, TX 75252-5736

Mailing address

17766 Preston Rd
Dallas, TX 75252-5736

National Provider Directory

National Provider Directory

Locations

17766 Preston Rd
Dallas, TX 75252
Phone (469) 343-4202

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": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1508103722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17766 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17766 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "469-343-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "469-343-4202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2013; 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.