Active NPI
Dezarae Leto, DO
- Surgery Physician
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30095
- Practice address
- 1921 Stonecipher Dr
Ada, OK 74820-3439 - Phone
- (580) 436-3980
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30095 | MS | Primary |
Addresses
Primary practice location
1921 Stonecipher Dr
Ada, OK 74820-3439
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Other practice location 1
300A E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 862-1272
Other practice location 2
225 Brightwater Dr Ste 220
Lillington, NC 27546-5156
Phone (910) 892-1550
Other practice location 3
803 Tilghman Dr Ste 200
Dunn, NC 28334-6699
Phone (910) 892-1550
Other practice location 4
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-1826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 Tilghman Dr
Suite 200
Dunn, NC 28334-6699
Phone (910) 892-1550
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8019 | OK | MD | General Practice Dentistry |
| 30095 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Surgery | Current | Accepting new patients |
| Chickasaw Nation Division of Health | Current | Accepting new patients |
Locations
802 Tilghman Dr
Dunn, NC 28334
Phone (910) 766-7711
803 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-1091
300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500
1638 Owen Dr
#138
Fayetteville, NC 28304
Phone (910) 615-4530
4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171
225 Brightwater Dr
Ste 220
Lillington, NC 27546
Phone (910) 304-1247
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
Interoperability endpoints
- dleto33716@capefearvalley.direct-ci.com
Organizations & group practices 4
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.
-
dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
TX
-
dba Cape Fear Valley Orthopedic Spine Specialists
- Orthopaedic Surgery of the Spine Physician
- Fayetteville, NC
- NPI 1568315554
-
dba Cape Fear Valley General Surgery
- Surgery Physician
- Dunn, NC
- NPI 1912728353
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1538689047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER DR",
"city": "ADA",
"state": "OK",
"postal_code": "748203439",
"telephone_number": "580-436-3980"
}
],
"practiceLocations": [
{
"address_1": "300A E McKay St",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "283379037",
"country_code": "US",
"telephone_number": "910-862-1272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Brightwater Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275465156",
"country_code": "US",
"telephone_number": "910-892-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 Tilghman Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283346699",
"country_code": "US",
"telephone_number": "910-892-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-1826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETO",
"first_name": "DEZARAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "30095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.