Katie Ann Leidhold, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012549 Issued in AZ

Practice address

1801 E Southern Ave Ste 101
Mesa, AZ 85204-5258

Phone

(480) 892-9000

Fax

(480) 779-1312

NPI assigned

Jun 17, 2025

Last updated

Jun 17, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• WPF Holdings LLC

  dba Southern Vista Dental Care

  • Dentist
  • Mesa, AZ
  • NPI 1790886281
  NPD (past)

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1619863263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E GARNET AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045808",
            "telephone_number": "774-328-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045258",
            "telephone_number": "480-892-9000",
            "fax_number": "480-779-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDHOLD",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Rae Lehmann, ND
• Anne Marie Lehmunn, PT,ATC
• Jessica M Lehr, COTA
• Lorne Matthew Lehr, PHARM.D.
• Megan Maria Leiber-Dalerio
• Heather Anne Leinbach, PHARMD
• Katherine Marie Leis, PHARMD
• Leisure World Chiropractic, Inc.
• Leisure World Plaza Chiropractic
• Jessica Leitch, P.T.

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.