Larry D Leemaster, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4856 Issued in OK

Practice address

3001 S Telephone Rd
Suite a
Moore, OK 73160-2942

Phone

(405) 793-8300

Fax

(405) 793-8397

NPI assigned

Jan 30, 2008

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 21, 2015 through Dec 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Larry D. Leemaster D.D.S., P.C.

  • General Practice Dentistry
  • Moore, OK
  • NPI 1750332045
  Authorized official Same address or phone

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1326225509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "SUITE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-793-8300",
            "fax_number": "405-793-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "SUITE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-793-8300",
            "fax_number": "405-793-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMASTER",
        "first_name": "LARRY",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ledbetter Eyecare
• Lance L. Ledbetter, O.D.
• Patrick Lee
• Brett Alan Leemaster, DDS
• Jay E Leemaster, M.D.
• Richelle R. Leibold, R.D./L.D.
• Jacquelyn Lemon
• Amara Lett, DR.
• Tanya Lett
• Cami Lewellen, LPC

• General Practice Dentistry in Moore, OK
• Providers in Moore, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.