Legacy Family Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D4275 Issued in ID

Legal business name

LEGACY FAMILY DENTAL CARE PLLC

Practice address

801 E Medical CT
Post Falls, ID 83854-7298

Phone

(208) 773-1559

Fax

(208) 773-9959

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Christine Elaine Gibbon

Title

Office Manager

Phone

(208) 773-1559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Whitney Morgan Frank, DDS

  • Dentist
  • Post Falls, ID
  • NPI 1093949133
  NPD (past)
• Gregory Colton Niblack

  • General Practice Dentistry
  • Post Falls, ID
  • NPI 1093415309
  NPD (past)

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1598150286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MEDICAL CT",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547298",
            "telephone_number": "208-773-1559",
            "fax_number": "208-773-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MEDICAL CT",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547298",
            "telephone_number": "208-773-1559",
            "fax_number": "208-773-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "GIBBON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-773-1559",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1093949133",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Leake
• Brenden Leaming, PT, DPT
• Learning Garden Developmental Preschool
• Olga Ivanovna Lebedevskiy, MD
• Shannon L Lee, LMP
• Anastasia Marie Leifheit, MS, RDN, CNSC, LD
• Jessica Dani Lennartz, LPC
• Linda Madree Leonard, LCSW
• Jerry J Leonardi
• Sharlene Leonti

• Dentist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.