Active NPI
Benjamin Luke Webber, D.D.S.
- Endodontics
- Clarksville, TN
National Provider Identifier
1427015080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8219
- Practice address
- 2287 Raleigh CT, Suite a
Clarksville, TN 37043 - Phone
- (931) 553-8484
- Fax
- (888) 235-6922
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8219 | TN | Primary |
| Dentist | 122300000X | 053483 | NY |
Addresses
Primary practice location
2287 Raleigh CT, Suite a
Clarksville, TN 37043
Mailing address
2287 Raleigh CT, Suite a
Clarksville, TN 37043
Phone (931) 553-8484
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 |
|---|---|---|---|
| 8219 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Endodontics PLLC | Endodontics | Current | Accepting new patients |
Locations
2287 Raleigh Ct
Ste A
Clarksville, TN 37043
Phone (931) 553-8484
Organizations & group practices 1
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.
-
- Endodontics
- Clarksville, TN
- NPI 1063085207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1427015080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2287 RALEIGH CT, SUITE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-553-8484",
"fax_number": "888-235-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2287 RALEIGH CT, SUITE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-553-8484",
"fax_number": "888-235-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER",
"first_name": "BENJAMIN",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "8219",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.