NPIMap

Organization Active NPI

Legends Drive Dental Center LLC

Doing business as Legends Dental

  • Dentist
  • Lawrence, KS
National Provider Identifier
1821274549
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
116786 Issued in KS
Legal business name
LEGENDS DRIVE DENTAL CENTER LLC
Doing business as
Legends Dental
Practice address
4900 Legends Dr
Lawrence, KS 66049-3886
Phone
(785) 841-5590
Fax
(785) 856-2339
NPI assigned
Jan 11, 2008
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Kellie D Brittingham
Title
Office Manager
Phone
(785) 841-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 116786 KS Primary

Addresses

Primary practice location

4900 Legends Dr
Lawrence, KS 66049-3886

Mailing address

4900 Legends Dr
Lawrence, KS 66049-3886
Phone (785) 841-5590

Other names 1

  • Legends Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1821274549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 LEGENDS DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493886",
            "telephone_number": "785-841-5590",
            "fax_number": "785-856-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 LEGENDS DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493886",
            "telephone_number": "785-841-5590",
            "fax_number": "785-856-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDS DRIVE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "BRITTINGHAM",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-841-5590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "116786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legends Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.