Individual provider Active NPI

Lee Richard Legler, D.M.D, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vero Beach, FL
National Provider Identifier
1992917850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN0012118 Issued in FL
Practice address
627 17TH St
Vero Beach, FL 32960-5518
Phone
(772) 562-5886
Fax
(772) 562-1450
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN0012118 FL Primary

Addresses

Primary practice location

627 17TH St
Vero Beach, FL 32960-5518

Mailing address

627 17TH St
Vero Beach, FL 32960-5518
Phone (772) 562-5886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN0012118FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992917850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605518",
            "telephone_number": "772-562-5886",
            "fax_number": "772-562-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605518",
            "telephone_number": "772-562-5886",
            "fax_number": "772-562-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGLER",
        "first_name": "LEE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN0012118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.