Active NPI
Joseph Newark Legg II, D.M.D
- Endodontics
- Dunmore, PA
National Provider Identifier
1699396978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS042819
- Practice address
- 514 N Blakely St
Dunmore, PA 18512-1935 - Phone
- (570) 341-3636
- NPI assigned
- Apr 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | DS042819 | PA | Primary |
Addresses
Primary practice location
514 N Blakely St
Dunmore, PA 18512-1935
Mailing address
514 N Blakely St
Dunmore, PA 18512-1935
Phone (570) 341-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042819 | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1699396978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 N BLAKELY ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121935",
"telephone_number": "570-341-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N BLAKELY ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121935",
"telephone_number": "570-341-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGG",
"first_name": "JOSEPH",
"middle_name": "NEWARK",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-28",
"last_updated": "2022-07-10",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS042819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.