NPIMap

Organization Active NPI

Larry D. Leemaster D.D.S., P.C.

  • General Practice Dentistry
  • Moore, OK
National Provider Identifier
1750332045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4856 Issued in OK
Legal business name
LARRY D. LEEMASTER D.D.S., P.C.
Practice address
520 S Telephone Rd
Suite 205
Moore, OK 73160-5423
Phone
(405) 793-8300
Fax
(405) 793-8397
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry D. Leemaster, D.D.S.
Title
President
Phone
(405) 793-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4856 OK Primary

Addresses

Primary practice location

520 S Telephone Rd
Suite 205
Moore, OK 73160-5423

Mailing address

520 S Telephone Rd
Suite 205
Moore, OK 73160-5423
Phone (405) 793-8300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750332045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S TELEPHONE RD",
            "address_2": "SUITE 205",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605423",
            "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": "520 S TELEPHONE RD",
            "address_2": "SUITE 205",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605423",
            "telephone_number": "405-793-8300",
            "fax_number": "405-793-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D. LEEMASTER D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEEMASTER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-793-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.