Terry Dale Webb, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN27821 Issued in FL

Practice address

5016 Grande Dr Ste 101
Pensacola, FL 32504-8991

Phone

(850) 696-0820

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 7, 2025 through Jan 7, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Elite Endodontics

  • Endodontics
  • Pensacola, FL
  • NPI 1275163099
  NPD
• Elite Endodontics of Pensacola PLLC

  • Endodontics
  • Pensacola, FL
  • NPI 1164306007
  NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1083684526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 GRANDE DR STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048991",
            "telephone_number": "850-696-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 GRANDE DR STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048991",
            "telephone_number": "850-696-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TERRY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "D0006732C",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "6862",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN27821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Weaver, MD
• Bijan Webb-Hawthorne
• Jay Stephen Webb, M.D.
• Laura Webb, DO
• Sharman L Webb, PHARMD
• Joseph Webber, NP
• Amanda Weber
• Linda A Weber, PHARMD
• Lindsey Collett Weber, FNP
• Sarah Weber, CCC-SLP

• Endodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.