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LEGACY PRIMARY CARE
NPI 1841090735
Clinic/Center - Primary Care in Northglenn, CO

Active since March 18, 2025
11990 GRANT ST STE 110, NORTHGLENN, CO 80233(720) 928-0244(720) 928-0247 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY PRIMARY CARE (NPI 1841090735) is a healthcare organization registered as a primary care in Northglenn, Colorado and active in the NPI registry since March 2025. The organization lists Deric J Rachjaibun, Owner, as its authorized official.

NPPES Registry Identity

NPI1841090735
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLEGACY PRIMARY CARE
Location Address11990 GRANT ST STE 110Northglenn, CO 80233-1122
Mailing Address11990 Grant St Ste 110Northglenn, CO 80233-1122 · (720) 928-0244 · Fax (720) 928-0247
Phone(720) 928-0244
Fax(720) 928-0247
Organization SubpartNo
Authorized OfficialDeric J RachjaibunOwner · (720) 928-0244
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1841090735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11990 GRANT ST STE 110, Northglenn, CO 80233
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DERIC J RACHJAIBUN MD
Family Medicine
11990 GRANT ST STE 110
NORTHGLENN, CO 80233
Adams County (720) 928-0244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Primary Care's NPI number?

The NPI number for Legacy Primary Care is 1841090735. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Legacy Primary Care located?

Legacy Primary Care is located at 11990 Grant St Ste 110, Northglenn, CO 80233. The listed phone number is (720) 928-0244.

What is Legacy Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Legacy Primary Care was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.