Individual provider Active NPI

Jeffery S Webb, D.D.S.

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1407929334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43878 Issued in CA
Practice address
2750 N Texas St
Ste 360
Fairfield, CA 94533-1290
Phone
(707) 422-8282
Fax
(707) 422-8280
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43878 CA Primary

Addresses

Primary practice location

2750 N Texas St
Ste 360
Fairfield, CA 94533-1290

Mailing address

2750 N Texas St
Ste 360
Fairfield, CA 94533-1290
Phone (707) 422-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000332 CA Order and Referring Only - Other (Non-Physician) 4082939319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43878CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407929334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N TEXAS ST",
            "address_2": "STE 360",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331290",
            "telephone_number": "707-422-8282",
            "fax_number": "707-422-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N TEXAS ST",
            "address_2": "STE 360",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331290",
            "telephone_number": "707-422-8282",
            "fax_number": "707-422-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JEFFERY",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.