Active NPI
Leighton M. Kennedy, DMD, PLLC
- General Practice Dentistry
- Mooresville, NC
National Provider Identifier
1497415491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LEIGHTON M. KENNEDY, DMD, PLLC
- Practice address
- 134 Professional Park Dr Ste 100
Mooresville, NC 28117-5600 - Phone
- (704) 799-0377
- NPI assigned
- Dec 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leighton M Kennedy, DMD
- Title
- Owner
- Phone
- (336) 601-6731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
134 Professional Park Dr Ste 100
Mooresville, NC 28117-5600
Mailing address
19920 Scanmar LN
Cornelius, NC 28031-6305
Phone (336) 601-6731
National Provider Directory
National Provider DirectoryLocations
134 Professional Park Dr
Ste 100
Mooresville, NC 28117
Phone (704) 799-0377
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Concord, NC
- NPI 1316208077
-
- Dentist
- Mooresville, NC
- NPI 1013169440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641340800000",
"number": "1497415491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19920 SCANMAR LN",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316305",
"telephone_number": "336-601-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PROFESSIONAL PARK DR STE 100",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175600",
"telephone_number": "704-799-0377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEIGHTON M. KENNEDY, DMD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-19",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "LEIGHTON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-601-6731",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.