Individual provider Active NPI

William Brett Webley, D.D.S.

  • Dentist
  • Everett, WA
National Provider Identifier
1053559716
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60147157 Issued in WA
Practice address
11802 Evergreen Way Ste 104
Everett, WA 98204-4620
Phone
(425) 405-7301
Fax
(425) 405-7298
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57977 CA
Dentist 122300000X 60147157 WA Primary

Addresses

Primary practice location

11802 Evergreen Way Ste 104
Everett, WA 98204-4620

Mailing address

11802 Evergreen Way Ste 104
Everett, WA 98204-4620
Phone (425) 405-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160129001909 WA Order and Referring Only - DentistPractitioner - Dentist 5294038964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60147157WAMDDentist
57977CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William Webley DDS PLLC Dentist Current Accepting new patients
William Webley DDS PLLC Current Accepting new patients

Locations

11802 Evergreen Way
Ste 104
Everett, WA 98204
Phone (425) 341-1111

Organizations & group practices 2

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1053559716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 EVERGREEN WAY STE 104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044620",
            "telephone_number": "425-405-7301",
            "fax_number": "425-405-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 EVERGREEN WAY STE 104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044620",
            "telephone_number": "425-405-7301",
            "fax_number": "425-405-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBLEY",
        "first_name": "WILLIAM",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57977",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60147157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.