Active NPI
Stephen Edward Webb, M.D.
- Ophthalmology Physician
- Dallas, TX
National Provider Identifier
1093711889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E2926
- Practice address
- 2811 Lemmon Ave E
Ste 302
Dallas, TX 75204-2845 - Phone
- (214) 528-6551
- Fax
- (214) 528-1903
- NPI assigned
- Jun 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E2926 | TX | Primary |
Addresses
Primary practice location
2811 Lemmon Ave E
Ste 302
Dallas, TX 75204-2845
Mailing address
2811 Lemmon Ave E
Ste 302
Dallas, TX 75204-2845
Phone (214) 528-6551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2926 | Other | TX | STATE BOARD LICENSE |
| 10024452 | Other | TX | DPS |
| 114009702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922001175 | TX | Practitioner - Ophthalmology | 2769416379 | Practice locations: Dallas, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1093711889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LEMMON AVE E",
"address_2": "STE 302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042845",
"telephone_number": "214-528-6551",
"fax_number": "214-528-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 LEMMON AVE E",
"address_2": "STE 302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042845",
"telephone_number": "214-528-6551",
"fax_number": "214-528-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "STEPHEN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-26",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E2926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD LICENSE",
"identifier": "E2926",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "10024452",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114009702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.