Organization Active NPI

Robert J Ueber DDS PC

  • Customized Equipment (DME)
  • Fort Wayne, IN
National Provider Identifier
1396150207
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
12008943 Issued in IN
Legal business name
ROBERT J UEBER DDS PC
Practice address
7215 Engle Rd
Fort Wayne, IN 46804-2228
Phone
(260) 434-1133
Fax
(260) 459-3399
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Robert J Ueber, DDSNPI 1366637506
Title
Owner
Phone
(260) 434-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 12008943 IN Primary

Addresses

Primary practice location

7215 Engle Rd
Fort Wayne, IN 46804-2228

Mailing address

7215 Engle Rd
Fort Wayne, IN 46804-2228
Phone (260) 434-1133

Other identifiers 1

IdentifierTypeStateIssuer
122300000XOtherDENTIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1396150207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042228",
            "telephone_number": "260-434-1133",
            "fax_number": "260-459-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042228",
            "telephone_number": "260-434-1133",
            "fax_number": "260-459-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J UEBER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "UEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-434-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "12008943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "122300000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.