LEGACY DENTAL CARE
NPI 1104939198
Dentist - General Practice in Houston, TX

NPI Status: Active since August 16, 2006

Contact Information

955 DAIRY ASHFORD ST
SUITE 107
HOUSTON, TX
ZIP 77079
Phone: (281) 531-7000
Fax: (281) 531-7023

Get Directions Write a Review

  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 45D2327135
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 07-15-2027

About LEGACY DENTAL CARE

This page provides the complete NPI Profile along with additional information for Legacy Dental Care, a provider established in Houston, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1104939198 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Legacy Dental Care. The authorized official of this NPI record is Mary Boney (Dir Hr/professional Relations)

NPI
1104939198
Provider Legal Name
ALLAN HAMBURG D.D.S., P.C.
Other Organization Name
LEGACY DENTAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
955 DAIRY ASHFORD ST SUITE 107 HOUSTON, TX 77079
Location Phone
(281) 531-7000
Location Fax
(281) 531-7023
Mailing Address
26615 OAK RIDGE DR THE WOODLANDS, TX 77380
Mailing Phone
(281) 296-8600
Mailing Fax
(281) 531-7023
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-16-2006
Last Update Date
08-20-2007
Code Navigator

A dentist like Legacy Dental Care is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License State
TX
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY BONEY

Authorized Official Title
DIR HR/PROFESSIONAL RELATIONS
Authorized Official Phone
(281) 296-8600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2327135
Facility Type
Hospice
Certificate Effective Date
July 16, 2025
Certificate Expiration Date
July 15, 2027
Laboratory Director
JOSEPH COSHA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Legacy Dental Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LEGACY DENTAL CARE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104939198, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 3 + 1 + 8 + 1 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104939198.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
955 DAIRY ASHFORD ST, SUITE 107
HOUSTON, TX 77079
Social Worker (Clinical)
955 DAIRY ASHFORD ST
HOUSTON, TX 77079
Counselor (Professional)
955 DAIRY ASHFORD ST, SUITE 110
HOUSTON, TX 77079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104939198, enumerated as an "organization" on August 16, 2006.

The provider is located at 955 DAIRY ASHFORD ST SUITE 107 HOUSTON, TX 77079 and the phone number is (281) 531-7000.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.