NPIMap

Organization Active NPI

Brent Webb DDS Apc

  • Dentist
  • Fort Jones, CA
National Provider Identifier
1174713713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRENT WEBB DDS APC
Practice address
9024 Sniktaw LN
Fort Jones, CA 96032-9408
Phone
(530) 468-4470
Fax
(530) 284-1558
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brent Webb, DDSNPI 1861501892
Title
President
Phone
(530) 468-4470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

9024 Sniktaw LN
Fort Jones, CA 96032-9408

Mailing address

PO Box 96
Crescent Mills, CA 95934-0096
Phone (530) 468-4470

National Provider Directory

National Provider Directory

Locations

9024 Sniktaw Ln
Fort Jones, CA 96032
Phone (530) 468-4470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174713713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "CRESCENT MILLS",
            "state": "CA",
            "postal_code": "959340096",
            "telephone_number": "530-468-4470",
            "fax_number": "530-284-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9024 SNIKTAW LN",
            "city": "FORT JONES",
            "state": "CA",
            "postal_code": "960329408",
            "telephone_number": "530-468-4470",
            "fax_number": "530-284-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT WEBB DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-468-4470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Jones, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.