Charles Michael Weber, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025255 Issued in OH

Practice address

4800 Ledgewood Dr
Medina, OH 44256-7666

Phone

(330) 723-9688

NPI assigned

Nov 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1255845632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 ABBEY RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441332527",
            "telephone_number": "520-576-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LEDGEWOOD DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567666",
            "telephone_number": "330-723-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Nicole Watts
• Latoria Chavell Weaver-Spaulding
• Chad S Webb, D.D.S.,M.S.
• Erin Michelle Webb
• Nicole E Webb, LPN
• Sarah Weber
• Douglas Weeks, M.D.
• Timothy Martin Weeks, D.C.
• Debra Wegmiller
• Leah Nicol Weinmann

• General Practice Dentistry in Medina, OH
• Providers in Medina, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.