Organization Active NPI

Dennis M. Weber

  • Podiatric Clinic/Center
  • Rockville, MD
National Provider Identifier
1407943475
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
00364 Issued in MD
Legal business name
DENNIS M. WEBER
Practice address
11801 Rockville Pike
Suite 105
Rockville, MD 20852-2734
Phone
(301) 881-6222
Fax
(301) 881-1639
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Dennis Mitchell Weber, DPM
Title
Director/Owner
Phone
(301) 881-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00364 MD Primary

Addresses

Primary practice location

11801 Rockville Pike
Suite 105
Rockville, MD 20852-2734

Mailing address

11801 Rockville Pike
Suite 105
Rockville, MD 20852-2734
Phone (301) 881-6222

Other identifiers 1

IdentifierTypeStateIssuer
NE2OtherDCCAREFIRST BC/BS

Other names 1

  • Md. Outpatient Foot Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

4701 Randolph Rd
Rockville, MD 20852
Phone (301) 230-0300

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1407943475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 ROCKVILLE PIKE",
            "address_2": "SUITE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522734",
            "telephone_number": "301-881-6222",
            "fax_number": "301-881-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 ROCKVILLE PIKE",
            "address_2": "SUITE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522734",
            "telephone_number": "301-881-6222",
            "fax_number": "301-881-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M. WEBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-881-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "00364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "NE2",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Md. Outpatient Foot Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.