Paul Kent Leonard, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2024010431 Issued in MO

Practice address

Kcu Oral Health Center
3001 Saint Johns Blvd
Joplin, MO 64804

Phone

(417) 208-0630

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kansas City University

  • Dental Clinic/Center
  • Joplin, MO
  • NPI 1295773638
  NPD
• Hayden L. Huett PLC

  • Dental Clinic/Center
  • Gravette, AR
  • NPI 1679306427
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1770630501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727361426",
            "telephone_number": "479-787-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KCU ORAL HEALTH CENTER",
            "address_2": "3001 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-208-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "PAUL",
        "middle_name": "KENT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2916",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024010431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Elizabeth Lefevers, DNP, FNP-C
• Legacy Hearing Incorporated
• Colton Van Lehenbauer
• Lauryn Leininger
• Ricardo Lemus
• Melodi Lynn Lepage, MOT OTRL
• Mae Shell Jugalbot Lepasana, OTR
• Gabriel Nicholas Lett, MA, LPC
• Lewis Optical, Inc
• James Michael Lewis, DDS

• Dentist in Joplin, MO
• Providers in Joplin, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.