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Legacy Primary Care

Primary Care Clinic/Center in Northglenn, CO · enumerated 2025 · authorized official Deric Rachjaibun, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841090735

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Primary Care
Practice address 11990 Grant St Ste 110, Northglenn, CO, 80233
Phone (720) 928-0244
Fax (720) 928-0247
Enumeration date Mar 18, 2025
Last updated in NPPES Mar 18, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Deric Rachjaibun
Title Owner
Phone (720) 928-0244

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Legacy Primary Care?
NPPES lists Deric Rachjaibun (Owner) as the authorized official for this organization.
What is the NPI number for Legacy Primary Care?
The NPI for Legacy Primary Care is 1841090735, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-18.