Dwight E. McLeod, D.D.S. M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

015787 Issued in MO

Practice address

340 Kelley Pkwy
Mexico, MO 65265-3811

Phone

(573) 582-1234

Fax

(573) 582-1212

NPI assigned

Jul 9, 2007

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MO

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

Specialty

Dentist

Education

Howard University College of Dentistry, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• East Central Missouri Behavioral Health Services, Inc

  dba Arthur Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mexico, MO
  • NPI 1144293549
  Medicare reassignment
• McLeod Periodontics

  • Periodontics
  • Hazelwood, MO
  • NPI 1154576890
  NPD (past) Authorized official

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1063610392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 KELLEY PKWY",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653811",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KELLEY PKWY",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653811",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Aguilar Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery City",
            "state": "MO",
            "postal_code": "633612723",
            "country_code": "US",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5992 Howdershell Rd",
            "address_2": "Ste. 204",
            "address_purpose": "LOCATION",
            "city": "Hazelwood",
            "state": "MO",
            "postal_code": "630424107",
            "country_code": "US",
            "telephone_number": "314-731-1700",
            "fax_number": "314-731-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "DWIGHT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "015787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Martin, PLPC
• Vickilynn Maul
• David L McCarty, MD
• Joanna Zidick McClarey, MS, ATC
• Simon John McKeown, M.D.
• Linda Marie McManus, RPH
• Medical Imaging Associates of Mexico Mo
• Mexico Cardiovascular Associates LLC
• Mexico Eye Center, L.L.C. (Precision Eyecare)
• Mexico Internal Medicine, LLP

• Periodontics in Mexico, MO
• Providers in Mexico, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.