Webber Dental Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEBBER DENTAL GROUP, INC

Doing business as

Secret River Dental

Practice address

905 Secret River Dr Ste a
Sacramento, CA 95831-3437

Phone

(916) 428-5318

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Office Manager

Title

Secretary

Phone

(916) 428-5318

Specialties & licenses 1

Addresses

Other names 1

• Secret River Dental Doing business as

Locations

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1013488931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 MARIETTA CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306640",
            "telephone_number": "916-769-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SECRET RIVER DR STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313437",
            "telephone_number": "916-428-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBBER DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "OFFICE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-428-5318"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secret River Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Secret River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humberto Webb
• John Michael Webb, M.D.
• Larry Webb Sr.
• Sarah Webb
• Victoria E Webb
• Marcia E Webber, LMFT
• Marissa Jordan Webber
• Meghan Dawn Webber, MD
• Wyatt Webdell
• Elizabeth Weber

• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.