Active NPI
Destin Legacy Inc
- Chiropractor
- Plano, TX
National Provider Identifier
1659932291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Eclipse | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Perry, OK
- NPI 1053351379
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.