Active NPI
Cory D Richards, DDS
- Dentist
- Fort Leonard Wood, MO
National Provider Identifier
1790944320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D3533
- Practice address
- 6958 Nebraska Ave BLDG 1608
Fort Leonard Wood, MO 65473-1618 - Phone
- (573) 596-0364
- NPI assigned
- Jun 9, 2008
- 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 | D3533 | ID | Primary |
| General Practice Dentistry | 1223G0001X | D3533 | ID |
Addresses
Primary practice location
6958 Nebraska Ave BLDG 1608
Fort Leonard Wood, MO 65473-1618
Mailing address
6958 Nebraska Ave BLDG 1608
Fort Leonard Wood, MO 65473-1618
Phone (573) 596-0364
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 |
|---|---|---|---|
| D3533 | ID | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1790944320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6958 NEBRASKA AVE BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654731618",
"telephone_number": "573-596-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6958 NEBRASKA AVE BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654731618",
"telephone_number": "573-596-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CORY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D3533",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.