Organization Active NPI

Webb Dental,PLLC

  • Dentist
  • Bartlett, TN
National Provider Identifier
1306986633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8359 Issued in TN
Legal business name
WEBB DENTAL,PLLC
Practice address
5786 Stage Rd
Bartlett, TN 38134-4518
Phone
(901) 428-9661
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernice Melius Webb, DDS
Title
Dentist
Phone
(901) 428-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8359 TN Primary

Addresses

Primary practice location

5786 Stage Rd
Bartlett, TN 38134-4518

Mailing address

1536 Teal Wing LN
Cordova, TN 38016-8706

National Provider Directory

National Provider Directory

Locations

5786 Stage Rd
Bartlett, TN 38134
Phone (901) 388-4811

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306986633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 TEAL WING LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5786 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344518",
            "telephone_number": "901-428-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB DENTAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "MELIUS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-428-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.