Cory McLeod, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020022147 Issued in MO

Practice address

3100 E Zora St
Webb City, MO 64870-9770

Phone

(417) 781-3182

NPI assigned

Jun 1, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moc Webb City, P L L C

  • Dentist
  • Webb City, MO
  • NPI 1013542232
  NPD
• Carthage Pediatric Dentistry, P LLC

  dba Carthage Pediatric Dental

  • Pediatric Dentistry
  • Carthage, MO
  • NPI 1427804103
  NPD (past)
• Seneca Family Smiles P L L C

  • Dentist
  • Seneca, MO
  • NPI 1396480976
  NPD (past)
• Baxter Springs Family Dentistry PA

  • Dentist
  • Baxter Springs, KS
  • NPI 1326621558
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1982228409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E ZORA ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709770",
            "telephone_number": "417-781-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "CORY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020022147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Well Psychotherapy Services of Southwest Missouri LLC
• Katlin Loos, PA-C
• David Josiah Lundy, PTA
• Brynn Kimberly Lynch, COTA/L
• Stuart Christian Mauger, DMD
• Rime Mehannek, MD
• Annette Merritt, RPH
• Breck Alan Mitchell, PT, DPT
• Moc Webb City, P L L C
• Micaelyn Luree Montgomery, MS CCC-SLP

• Dentist in Webb City, MO
• Providers in Webb City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.