Individual provider Active NPI

Christopher McAfee Leslie, D.D.S.

  • Dentist
  • Stillwater, OK
National Provider Identifier
1376864611
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6197 Issued in OK
Practice address
1325 S. Sangre Road
Stillwater, OK 74074
Phone
(405) 624-0222
Fax
(405) 624-6003
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6197 OK Primary

Addresses

Primary practice location

1325 S. Sangre Road
Stillwater, OK 74074

Mailing address

1325 S. Sangre Road
Stillwater, OK 74074
Phone (405) 624-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20161101000987 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729366422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Dentistry Past Accepting new patients
Clint Metcalf, D.D.S., PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1376864611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S. SANGRE ROAD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-624-0222",
            "fax_number": "405-624-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S. SANGRE ROAD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-624-0222",
            "fax_number": "405-624-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MCAFEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.