Melissa Marcella Webster, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

165 Issued in AK

Practice address

421 3Rd St
Ste B
Fairbanks, AK 99701-3506

Phone

(907) 455-7100

Fax

(907) 455-7109

NPI assigned

Feb 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Birch Mountain Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Fairbanks, AK
  • NPI 1558840306
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1053550400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 3RD ST STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013506",
            "telephone_number": "907-455-7100",
            "fax_number": "907-455-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 3RD ST",
            "address_2": "STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013506",
            "telephone_number": "907-455-7100",
            "fax_number": "907-455-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MELISSA",
        "middle_name": "MARCELLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AK",
            "license": "165",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "8427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Webb
• Heidi Rosabelle Webb
• Jacob Webb
• Derek M Weber, PHARMD
• Michael Thomas Weber, PHYSICIAN ASSISTANT
• Pamela W Webster, LCSW
• Alyce Lynne Weckwerth, ANP
• Cathy Joan Weeg, LPC
• Katelyn Erin Weekley
• Barbi Weigand, D.M.D

• Periodontics in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Periodontics in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.