Individual provider Active NPI

Douglas Boyd Weber, DDS

  • Dentist
  • Palmdale, CA
National Provider Identifier
1336229137
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37951 Issued in CA
Practice address
41307 12TH St W Ste 100
Palmdale, CA 93551-1454
Phone
(661) 267-2021
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37951 CA Primary

Addresses

Primary practice location

41307 12TH St W Ste 100
Palmdale, CA 93551-1454

Mailing address

PO Box 592
Lancaster, CA 93584-0592
Phone (661) 945-3661

Other practice location 1

44404 16th St W Ste 201
Lancaster, CA 93534-2839
Phone (661) 945-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas B. Weber, DDS, a Dental Incorporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1336229137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935840592",
            "telephone_number": "661-945-3661",
            "fax_number": "661-942-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41307 12TH ST W STE 100",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511454",
            "telephone_number": "661-267-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44404 16th St W Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342839",
            "country_code": "US",
            "telephone_number": "661-945-3661",
            "fax_number": "661-942-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DOUGLAS",
        "middle_name": "BOYD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.