Kelly Edwards PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KELLY EDWARDS PLLC

Doing business as

Leavenworth Dental

Practice address

11779 US Hwy2, #201
Leavenworth, WA 98826

Phone

(509) 548-5415

NPI assigned

May 7, 2026

Organization subpart

No

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

Authorized official

Name

Jagdev Heir, MD, DMD, FACS

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 1

Addresses

Other names 1

• Leavenworth Dental Doing business as

Locations

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1427985886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11779 US HWY2, #201",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "98826",
            "telephone_number": "509-548-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY EDWARDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JAGDEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483",
        "authorized_official_credential": "MD, DMD, FACS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leavenworth Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Jerome, RN
• John M Schiefelbein, DMD, PLLC
• Nancy Kalionzes
• Sonia M Karumsi, PT
• Sabine Kaul-Connolly, OTR/L
• Lauren Nevarez Kendall, MD
• Brett Kerin, LMP
• Kevin S Clive DDS PLLC
• Susan Alexis Khaleghi, NP
• Richelle Kimble

• Dentist in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.