Individual provider Active NPI

Liana Preto Webber, DDS, PHD

  • Periodontics
  • South Burlington, VT
National Provider Identifier
1043965072
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
016.0134227 Issued in VT
Practice address
60 Timber LN Ste 1
South Burlington, VT 05403-7287
Phone
(802) 864-6881
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 016.0134227 VT Primary

Addresses

Primary practice location

60 Timber LN Ste 1
South Burlington, VT 05403-7287

Mailing address

60 Timber LN Ste 1
South Burlington, VT 05403-7287
Phone (802) 864-6881

Other practice location 1

1127 North Ave Ste 7
Burlington, VT 05408-2756
Phone (802) 862-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240511000132 VT Order and Referring Only - DentistPractitioner - Dentist 2860833613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Timberlane Dental Associates, PLC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1043965072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TIMBER LN STE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037287",
            "telephone_number": "802-864-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TIMBER LN STE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037287",
            "telephone_number": "802-864-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 North Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054082756",
            "country_code": "US",
            "telephone_number": "802-862-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETO WEBBER",
        "first_name": "LIANA",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-10-06",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VT",
            "license": "016.0134227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.