Active NPI
Leroy Richardson, DDS
- Dentist
- Checotah, OK
National Provider Identifier
1659438653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5986
- Practice address
- 100 NW 9TH St
Checotah, OK 74426 - Phone
- (918) 473-3700
- Fax
- (918) 473-3317
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11482 | MO | |
| Dentist | 122300000X | 5986 | OK | Primary |
Addresses
Primary practice location
100 NW 9TH St
Checotah, OK 74426
Mailing address
100 NW 9TH St
PO Box 328
Checotah, OK 74426
Phone (918) 473-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11482 | MO | MD | Dentist |
| 5986 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures & Implants - Oklahoma, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Checotah, OK
- NPI 1831371962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1659438653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 9TH ST",
"address_2": "PO BOX 328",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "74426",
"telephone_number": "918-473-3700",
"fax_number": "918-473-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 9TH ST",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "74426",
"telephone_number": "918-473-3700",
"fax_number": "918-473-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "LEROY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "11482",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Checotah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.