Active NPI
Legacy Foot and Ankle Specialists
- Podiatrist
- Frisco, TX
National Provider Identifier
1548654569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- LEGACY FOOT AND ANKLE SPECIALISTS
- Practice address
- 5575 Warren Pkwy
#104
Frisco, TX 75034-4062 - Phone
- (214) 705-2585
- NPI assigned
- Mar 27, 2015
- Last updated
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Gregg Petty, DPM
- Title
- Doctor
- Phone
- (903) 826-2397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
5575 Warren Pkwy
#104
Frisco, TX 75034-4062
Mailing address
5575 Warren Pkwy
#104
Frisco, TX 75034-4062
Phone (214) 705-2585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1548654569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "#104",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344062",
"telephone_number": "214-705-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "#104",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344062",
"telephone_number": "214-705-2585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY FOOT AND ANKLE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "PETTY",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "GREGG",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "903-826-2397",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
- Shelby Alyse Leffingwell, PT, DPT
- Alyson Leftin, LCSW
- Legacy Dental Associates, P.C. (Legacy Ranch Dental)
- Legacy Dental Associates, P.C.
- Legacy Dermatology, PLLC
- Legacy Internal Medicine, PLLC
- Legacy Physicians Group
- Legacy Physicians Group Florida LLC
- Legacy Physicians Group, LLC
- Legacy Physicians Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.