Kelvin Jon Webster

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-106341 Issued in CO

Practice address

314 W Bijou Ave
Fort Morgan, CO 80701-2331

Phone

(970) 687-2288

NPI assigned

Jan 24, 2007

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: kelvin.webster.p30@direct.fhn-fqhc.nextgenshare.com

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1063567857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W BIJOU AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012331",
            "telephone_number": "970-687-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W BIJOU AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012331",
            "telephone_number": "970-687-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "KELVIN",
        "middle_name": "JON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-106341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09979)
• Walgreen Co. (Walgreens #9979)
• Walmart Inc. (Walmart Pharmacy 10-5033)
• Sharon Washburn
• Mandee F Weaver
• Arlene K Weimer, LP
• Connie Weingarten, PT, MHA
• Eric Wenzler, PHARMD
• Aimee Whatley, NP
• Ryan V Wheatley, CRNA

• General Practice Dentistry in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.