Active NPI
Rachel Weber, DDS
- Periodontics
- Jbsa Lackland, TX
National Provider Identifier
1417943093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D12092
- Practice address
- 1615 Truemper St
Jbsa Lackland, TX 78236-5511 - Phone
- (210) 292-0749
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D12092 | MN | Primary |
| Periodontics | 1223P0300X | 41346 | TX |
Addresses
Primary practice location
1615 Truemper St
Jbsa Lackland, TX 78236-5511
Mailing address
2781 Artillery Post Rd
San Antonio, TX 78234-2682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417943093 | Other | MILITARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41346 | TX | MD | Dentist |
| D12092 | MN | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1417943093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 ARTILLERY POST RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782342682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 TRUEMPER ST",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365511",
"telephone_number": "210-292-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "RACHEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "D12092",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "41346",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY",
"identifier": "1417943093",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.