Enrique Antonio Legon Valdes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20325 Issued in FL

Practice address

8740 N Kendall Dr Ste 220
Miami, FL 33176-2221

Phone

(786) 797-8257

NPI assigned

Aug 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1972935799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 SW 16TH TER APT 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751578",
            "telephone_number": "786-797-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762221",
            "telephone_number": "786-797-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGON VALDES",
        "first_name": "ENRIQUE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Legido, PA-C
• Legion Park Medical Center
• Sofia Luisa Legler
• Mariam De la Caridad Legon Cabrera
• Marisol Legon Perez, LMT
• Barbara Lidierkys Legon
• Osmay Legon
• Eugenia Legorburu, M.D.
• Carlos Manuel Legra Elias, APRN
• Odalmys Legra Garrido

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.