Spurgeon Willard Webber III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5647 Issued in NC

Practice address

518 East Blvd
Webber Dental Building
Charlotte, NC 28203-5110

Phone

(704) 332-5848

Fax

(704) 332-5817

NPI assigned

Dec 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• S. W. Webber D.D.S., P.a.

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1649289760
  Medicare reassignment NPD Authorized official
• S. W. Webber, III, DDS, PA

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1912179706
  NPD (past) Authorized official
• David Woolston DDS PLLC

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1194481051
  NPD
• Paola R Uceda DDS PA

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1245699131
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265500839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 EAST BLVD",
            "address_2": "WEBBER DENTAL BUILDING",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035110",
            "telephone_number": "704-332-5848",
            "fax_number": "704-332-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 EAST BLVD",
            "address_2": "WEBBER DENTAL BUILDING",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035110",
            "telephone_number": "704-332-5848",
            "fax_number": "704-332-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "SPURGEON",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890145B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Webber Dentistry at South Park
• Briana Melissa Webber-Lind, PSYD
• Brittany Coggin Webber, MA, LCMHCA, LSC, NCC
• Gardner Webber, NCCPSS, AFPA HNC
• Jessica Webber
• Alisa Weber, FNP
• Stephanie Ryan Weber, LCMHCA
• Whitney Adams Weber, COTA/L
• Hala Jubran Webster, MD
• Jennifer Webster, PHARMD

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.