Legacy Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23952 Issued in TX

Legal business name

LEGACY DENTISTRY

Practice address

151 Walton Way
Suite 102
Midlothian, TX 76065-8009

Phone

(972) 723-1148

Fax

(972) 723-1035

NPI assigned

May 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Toni L Engram

Title

General Dentist

Phone

(972) 723-1148

Specialties & licenses 1

Addresses

Other names 1

• Legacy Dentistry Other name

Locations

Practitioners 1

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

• Tony Nguyen

  • Dentist
  • Midlothian, TX
  • NPI 1215421193
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1679865836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WALTON WAY",
            "address_2": "SUITE 102",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658009",
            "telephone_number": "972-723-1148",
            "fax_number": "972-723-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WALTON WAY",
            "address_2": "SUITE 102",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658009",
            "telephone_number": "972-723-1148",
            "fax_number": "972-723-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "ENGRAM",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "972-723-1148",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Larsen, M.S. CCC-SLP
• Trang Le, PHARM D.
• Charles Raymond Leach, MD
• Leanonme Group LLC (Leanonme Medical Clinic)
• Taylor Dean Leavitt, MD
• Elaine Fannie Lemmer, PH.D.
• Dana Lewis
• Linzie Nicole Lewis
• LH Concierge Medicine, PLLC
• LHCG Cxciv, LLC (DFW Home Care)

• General Practice Dentistry in Midlothian, TX
• Providers in Midlothian, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.