Active NPI
Roger Allan Webster, D.D.S, M.S.
- Endodontics
- Clovis, CA
National Provider Identifier
1376711259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 17406
- Practice address
- 200 W Shaw Ave Ste 110
Clovis, CA 93612-3684 - Phone
- (559) 325-6161
- Fax
- (559) 325-6166
- NPI assigned
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 17406 | CA | Primary |
Addresses
Primary practice location
200 W Shaw Ave Ste 110
Clovis, CA 93612-3684
Mailing address
5400 W Buena Vista Ave
Visalia, CA 93291-8861
Phone (559) 622-0773
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.Pakravan Dental Corporation | 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.
-
- General Practice Dentistry
- Clovis, CA
- NPI 1508089889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1376711259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W BUENA VISTA AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918861",
"telephone_number": "559-622-0773",
"fax_number": "559-622-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SHAW AVE STE 110",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123684",
"telephone_number": "559-325-6161",
"fax_number": "559-325-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "ROGER",
"middle_name": "ALLAN",
"credential": "D.D.S, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "17406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.