Active NPI
Max J Weber, D.D.S.
- Dentist
- Kansas City, MO
National Provider Identifier
1275899296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2010021209
- Practice address
- 7900 Lees Summit Rd
Kansas City, MO 64139-1236 - Phone
- (816) 404-6885
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2010021209 | MO | Primary |
Addresses
Primary practice location
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Mailing address
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150622001505 | MO | Order and Referring Only - Dentist | 9931410685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010021209 | MO | MD | Dentist |
Interoperability endpoints
- max.weber@direct.tmcmed.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1275899296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 LEES SUMMIT RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641391236",
"telephone_number": "816-404-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 LEES SUMMIT RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641391236",
"telephone_number": "816-404-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MAX",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2010021209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.