Penelope J Leggott, DDS MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00007102 Issued in WA

Practice address

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779

Phone

(360) 424-3811

Fax

(360) 424-8703

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1821209388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811",
            "fax_number": "360-424-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811",
            "fax_number": "360-424-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGOTT",
        "first_name": "PENELOPE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00007102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017173",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D33488",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Lee, MD
• Shandra C Lee, DMD
• Solveig Lydia Lee, MA, CDP, LMHCA
• Steven S Lee, MD
• Sharleen Michele Trillana Legaspi, MD
• Meris F Lehecka, ARNP
• Howard L Leibrand, MD
• Danielle R Lemieux, MT
• Carmel Lynn Lenski, RPH
• Richard J Leone Jr., MD, PHD

• Pediatric Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.