Legacy Creation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEGACY CREATION LLC

Doing business as

The Disc Chiropractic

Practice address

6990 W 38TH Ave Ste 205
Wheat Ridge, CO 80033-4981

Phone

(860) 575-5062

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alphonse Simeone, DCNPI 1710488861

Title

Owner

Phone

(860) 575-5062

Specialties & licenses 1

Addresses

Other names 1

• The Disc Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alphonse Andrew Simeone, D.C.

  • Chiropractor
  • Wheat Ridge, CO
  • NPI 1710488861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1548915416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6990 W 38TH AVE STE 205",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334981",
            "telephone_number": "860-575-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990 W 38TH AVE STE 205",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334981",
            "telephone_number": "860-575-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CREATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-575-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Disc Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kira Miyoko Lebsack, AG-NP
• Stacey Leclair, M.S.
• Ami Lee
• Candyce Lee
• Destiney Nichole Lee
• Courtney Nicole Legge, PSYD
• Legros Strickler Nutrition LLC
• Kelly Legros Strickler, REGISTERED DIETITIAN
• Amanda Lehrer
• Oakley Lemire

• Chiropractor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.