Individual provider Active NPI

Dylan James Weber, DDS

  • General Practice Dentistry
  • Attleboro, MA
National Provider Identifier
1225656929
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858733 Issued in MA
Practice address
228 Washington St Ste 140
Attleboro, MA 02703-5563
Phone
(774) 206-5592
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858733 MA Primary

Addresses

Primary practice location

228 Washington St Ste 140
Attleboro, MA 02703-5563

Mailing address

78 Phillips St Apt 2
Boston, MA 02114-3451
Phone (417) 699-3850

Other identifiers 1

IdentifierTypeStateIssuer
DN1858733OtherMAMASSACHUSETTS BOARD OF REGISTRATION IN DENTISTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dylan.weber@pacden.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1858733MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Attleboro, PC PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 1

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1225656929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PHILLIPS ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143451",
            "telephone_number": "417-699-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WASHINGTON ST STE 140",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035563",
            "telephone_number": "774-206-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DYLAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BOARD OF REGISTRATION IN DENTISTRY",
            "identifier": "DN1858733",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dylan.weber@pacden.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "228 Washington St Ste 140",
            "city": "Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027035563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.