Organization Active NPI

Matthew J Weber, MD, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kearney, NE
National Provider Identifier
1245832963
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MATTHEW J WEBER, MD, DDS, PC
Practice address
504 W 42ND St
Kearney, NE 68845-2453
Phone
(308) 455-1944
Fax
(308) 455-1920
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Katie A Dale
Title
Office Manager
Phone
(308) 455-1944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

504 W 42ND St
Kearney, NE 68845-2453

Mailing address

504 W 42ND St
Kearney, NE 68845-2453
Phone (308) 455-1944

Other names 1

  • Matthew J Weber, MD, DDS, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

504 W 42nd St
Kearney, NE 68845
Phone (308) 455-1944

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1245832963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 42ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452453",
            "telephone_number": "308-455-1944",
            "fax_number": "308-455-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W 42ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452453",
            "telephone_number": "308-455-1944",
            "fax_number": "308-455-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J WEBER, MD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-455-1944"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew J Weber, MD, DDS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

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