Jonathan David Weber, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002696-15 Issued in WI

Practice address

811 N Lynndale Dr Ste 1a
Appleton, WI 54914-3085

Phone

(920) 450-4378

NPI assigned

Sep 1, 2021

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

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1023786241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N MCCARTHY RD APT 5",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138285",
            "telephone_number": "920-450-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N LYNNDALE DR STE 1A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143085",
            "telephone_number": "920-450-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002696-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Who Wander Counseling & Consulting, LLC
• Elizabeth A Weaver, LMT
• Bobbie Jo Weber, OTR
• Courtney Paige Weber, COTA
• Jenna Jean Weber, DPT
• Marcia Weber, LPN
• Miles Anthony Weber, DPT
• Mitchell Robert Weber, NP-C
• Steven L Weber, DDS
• Hilary Webster, MD

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.