Dean T Weber

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

4463584 Issued in MN

Legal business name

DEAN T WEBER

Doing business as

Foley Medical Supply Co

Practice address

20 2ND Ave W
Foley, MN 56329-8514

Phone

(320) 968-7797

Fax

(320) 968-8869

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dean T Weber, RN

Title

Owner

Phone

(320) 968-7797

Specialties & licenses 1

Addresses

Other names 1

• Foley Medical Supply Co Doing business as

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1417101254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563290548",
            "telephone_number": "320-968-7797",
            "fax_number": "320-968-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 2ND AVE W",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298514",
            "telephone_number": "320-968-7797",
            "fax_number": "320-968-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN T WEBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-968-7797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MN",
            "license": "4463584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foley Medical Supply Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Foley, MN
• Providers in Foley, MN by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.