LEGEND DENTAL PLLC (NPI# 1003111006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003111006 |
| Entity Type | Organization |
| Organization Name | LEGEND DENTAL PLLC |
| Practice Address |
2525 W Anderson Ln Building 3 Suite 300 Austin TX 78757-1180 |
| Mailing Address |
7301 State Highway 161 Ste 198 Irving TX 75039-2880 |
| Practice Telephone | 9728693789 |
| Mailing Telephone | 9728693789 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | MARY PU (CFO) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
2525 W ANDERSON LN BUILDING 3 SUITE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669700787 | Kimberly Klotz | Pharmacist | 2525 W Anderson Ln, Austin, TX 78757-1180 | 2009-12-01 |
| 1669837407 | Manpreet Dhaliwal | Pharmacist | 2525 W Anderson Ln, Austin, TX 78757-1180 | 2015-12-21 |
| 1609277169 | Michelle Tullous | Massage Therapist | 2525 W Anderson Ln, Suite Sp5, Austin, TX 78757-1180 | 2014-09-15 |
| 1730528530 | Megha Dipak Gandhi | Pharmacist | 2525 W Anderson Ln, Austin, TX 78757-1180 | 2013-06-14 |
| 1790122109 | Katherine E Iltis | Pharmacist | 2525 W Anderson Ln, Bldg 2, Austin, TX 78757-1180 | 2013-05-24 |
| 1629338413 | Walgreens | Pharmacy | 2525 W Anderson Ln, Austin, TX 78757-1180 | 2012-05-25 |
| 1356625107 | Swetha Reddy Sama | Dentist | 2525 W Anderson Ln, Building 3, Suite 300, Austin, TX 78757-1180 | 2011-09-28 |
| 1306153366 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2525 W Anderson Ln, Austin, TX 78757-1180 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1003462045 | Ac Dentistry Pllc | Dentist | 13616 N Highway 183, Austin, TX 78750-2311 | 2019-08-15 |
| 1619520087 | Iana Elledge | Dentist | 4801 Amarra Dr, Austin, TX 78735-1845 | 2019-07-24 |
| 1861044265 | John Dinh Le | Dentist | 801 E William Cannon Dr Ste 201, Austin, TX 78745-6671 | 2019-07-15 |
| 1669030979 | Angela Patricia Velasquez | Dentist | 6601 Rialto Blvd Apt 6213, Austin, TX 78735-0063 | 2019-06-01 |
| 1093281289 | Brush32 Dental of South Congress Pllc | Dentist | 8900 S Congress Ave, Ste 400, Austin, TX 78745-7393 | 2018-10-16 |
| 1295216752 | Chia-chen Tsai | Dentist | 1500 W William Cannon Dr Apt 239, Austin, TX 78745-3767 | 2018-08-23 |
| 1194205427 | Mairna Qandla | Dentist | 10500 Avery Club Dr Unit 2, Austin, TX 78717-3937 | 2018-08-16 |
| 1487131470 | Brijita Parekh | Dentist | 6302 Libyan Dr, Austin, TX 78745-4971 | 2018-07-23 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.