NPIMap

Organization Active NPI

Legacy Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Allen, TX
National Provider Identifier
1710403860
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LEGACY ORTHOPEDICS PLLC
Practice address
963 State Highway 121 Ste 1150
Allen, TX 75013-6034
Phone
(469) 322-1400
Fax
(469) 322-1401
NPI assigned
Aug 21, 2017
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Chris Robert MillerNPI 1477507382
Title
Member
Phone
(469) 322-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P7152 TX
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

963 State Highway 121 Ste 1150
Allen, TX 75013-6034

Mailing address

963 State Highway 121 Ste 1150
Allen, TX 75013-6034
Phone (469) 322-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171120003396 TX Part B Supplier - Clinic/Group Practice 4284991639 Receives reassigned benefits from 7 practitioners
Practice locations: Allen, TX
O20180817003027 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4284991639 Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCFBBD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1710403860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 STATE HIGHWAY 121 STE 1150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136034",
            "telephone_number": "469-322-1400",
            "fax_number": "469-322-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 STATE HIGHWAY 121 STE 1150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136034",
            "telephone_number": "469-322-1400",
            "fax_number": "469-322-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "469-322-1400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P7152",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.