Jill Marie Weber, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30-023327 Issued in OH

Practice address

31099 Chagrin Blvd
Suite 100
Pepper Pike, OH 44124-5958

Phone

(216) 450-5888

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Case Western University School of Dental Medicine, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Ohios Center for Ofandi Surgery IncGroup PAC ID 5496983918, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jweber220102@ehrdirect.uhhospitals.org

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.

• Ohios Center for of&I Surgery Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Mentor, OH
  • NPI 1497181036
  Medicare reassignment Care Compare group
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1407021496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31099 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245958",
            "telephone_number": "216-450-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31099 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245958",
            "telephone_number": "216-450-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-023327",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.028200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristian Walker
• Victoria Wallace, LPN
• Andrea Ware, LISW-SUPV
• Adella Wasserstein, MD
• Theresa C Webb
• Guiseppina G Weinland, LISW-S
• Katelyn Joy Welch
• Lauren Welch
• Deborah Wheeler
• Katlyn Suzanne White, LSW

• Oral and Maxillofacial Surgery (Dentist) in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.