NPIMap

Organization Active NPI

Legacy Spine and Reahbilitation Center

  • Chiropractor
  • Plano, TX
National Provider Identifier
1871608778
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9983 Issued in TX
Legal business name
LEGACY SPINE AND REAHBILITATION CENTER
Practice address
3800 W 15TH St
Ste 122
Plano, TX 75075-4738
Phone
(972) 612-3800
Fax
(972) 612-3811
NPI assigned
Aug 20, 2006
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Dyba Syed-Kalyani, DCNPI 1689656134
Title
Director
Phone
(972) 612-3800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9983 TX Primary

Addresses

Primary practice location

3800 W 15TH St
Ste 122
Plano, TX 75075-4738

Mailing address

3800 W 15TH St
Ste 122
Plano, TX 75075-4738

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1871608778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 15TH ST",
            "address_2": "STE 122",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 15TH ST",
            "address_2": "STE 122",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754738",
            "telephone_number": "972-612-3800",
            "fax_number": "972-612-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SPINE AND REAHBILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "SYED-KALYANI",
        "authorized_official_first_name": "DYBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-612-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.