Kelly A Halligan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19589 Issued in TX

Practice address

595 Chapel Hills Dr. Ste. 105
Colorado Springs, CO 80920-2502

Phone

(719) 475-2511

NPI assigned

Jun 6, 2006

Last updated

May 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kelly Peters Halligan Other name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Colorado Springs Sleep and Wellness, LLC

  • Customized Equipment (DME)
  • Colorado Springs, CO
  • NPI 1720545007
  NPD (past)
• Peter a McIntyre DDS PC

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1184016172
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1851331326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201024",
            "telephone_number": "719-475-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR. STE. 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202502",
            "telephone_number": "719-475-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIGAN",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19589",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HALLIGAN",
            "middle_name": "PETERS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Fern Halle, NURSE PRACTITIONER
• Amanda T Haller, DDS
• Martha Haller
• Nicole Hallermeier
• Daniel T Hallgarth, PHARMD
• Julie Lynn Halling, M.D., PH.D.
• Annie Hallis
• Dustin Halliwell, LCSW
• Brooke E Hallman, CRNA
• Sara Halloran, RN

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.