Organization Active NPI

Destin Legacy Inc

  • Chiropractor
  • Plano, TX
National Provider Identifier
1659932291
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DESTIN LEGACY INC
Practice address
2200 Los Rios Blvd Ste 127
Plano, TX 75074-3478
Phone
(972) 424-4266
Fax
(972) 424-4266
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Crystal Linsteadt, LMT
Title
President
Phone
(972) 424-4266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2200 Los Rios Blvd Ste 127
Plano, TX 75074-3478

Mailing address

4101 E Park Blvd Ste 121
Plano, TX 75074-3409
Phone (972) 424-4266

Other names 1

  • East Plano Chiropractic & Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Eclipse Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4101 E Park Blvd
Ste 121
Plano, TX 75074
Phone (972) 424-4266

Practitioners & affiliated clinicians

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": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1659932291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E PARK BLVD STE 121",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743409",
            "telephone_number": "972-424-4266",
            "fax_number": "972-424-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD STE 127",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743478",
            "telephone_number": "972-424-4266",
            "fax_number": "972-424-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN LEGACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LINSTEADT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-424-4266",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Eclipse",
            "affiliation": "N",
            "endpointDescription": "Eclipse",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Los Rios Blvd Ste 127",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750743478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Plano Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Plano Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.