Tani Mae Weber, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

00005731 Issued in WA

Practice address

14705 106TH Ave NE
Bothell, WA 98011-4803

Phone

(425) 780-2170

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1013592278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14705 106TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114803",
            "telephone_number": "425-780-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14705 106TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114803",
            "telephone_number": "425-780-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "TANI",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Watson, PHARMD
• Susan Marie Watters, OTR/L
• Kelli Wax, RN
• Lily Webb, RN
• Anastasia Weber
• Michelle Weible, BCBA, LBA
• Emilie Bunderson Weigel, MD
• Kyla Welch-Heaney, LBA
• Eric Weller, D.D.S.
• Barbara Davis Wells

• Dental Hygienist in Bothell, WA
• Providers in Bothell, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.