Kelly Thompson Leftwich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401413676 Issued in VA

Practice address

15435 Gleneagle Dr Ste 200
Colorado Springs, CO 80921-2542

Phone

(719) 481-6788

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Lauren Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leah McQuigg, LLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1467095976
  NPD
• Norma M Longo DMD PC

  • Dentist
  • Co SP, CO
  • NPI 1922190826
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1306193396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 GLENEAGLE DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212542",
            "telephone_number": "719-481-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 GLENEAGLE DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212542",
            "telephone_number": "719-481-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFTWICH",
        "first_name": "KELLY",
        "middle_name": "THOMPSON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "THOMPSON",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlea Leeson
• Rebecca Leet
• Carolyn Lefeuvre
• Amy Lefevre
• Jason Daniel Lefkof, D.O.
• Tess Leftwich
• Legacy EMS, Inc.
• Legacy EMS, Inc.
• Legacy Hospice of Colorado Springs, LLC
• Legacy Integrated Health LLC

• All providers in Colorado Springs, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.