Individual provider Active NPI

Alden Robert Webb, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Liberty Lake, WA
National Provider Identifier
1487813309
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
11013946A Issued in IN
Practice address
2110 N Molter Rd Ste 112
Liberty Lake, WA 99019-9811
Phone
(208) 277-9704
Fax
(208) 277-9704
NPI assigned
Jun 5, 2008
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X OP60276418 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 11013946A IN Primary

Addresses

Primary practice location

2110 N Molter Rd Ste 112
Liberty Lake, WA 99019-9811

Mailing address

2110 N Molter Rd Ste 112
Liberty Lake, WA 99019-9811
Phone (208) 277-9704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120706000634 WA Practitioner - Pathology 4789849258 Reassigns benefits to 1 organization
I20220621001432 IA Practitioner - Pathology 4789849258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Midwestern University, Chicago College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Dermatopathology PLLCGroup PAC ID 9335508787, 2 clinicians
Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

2110 N Molter Rd
Suite 112
Liberty Lake, WA 99019-9469
Phone (208) 277-9704

6800 Lake Dr
Suite 285
West Des Moines, IA 50266-2544
Phone (515) 697-3898

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60276418WAMDDermatopathology (Pathology) Physician
11013946AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Clinic PLC Current Accepting new patients
Iowa Dermatology Clinic PLC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2022 Accepting new patients
Evergreen Dermatopathology PLLC Dermatopathology CurrentSince May 1, 2023 Accepting new patients
Iowa Dermatology Clinic, PLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

6000 University Ave
Ste 350
West Des Moines, IA 50266
Phone (515) 226-8484

6800 Lake Dr
Ste 285
West Des Moines, IA 50266
Phone (515) 570-3980

2110 N Molter Rd
Ste 112
Liberty Lake, WA 99019
Phone (208) 277-9704

Interoperability endpoints

  • Direct secure messaging: a.webb@iowaderm.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1487813309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N MOLTER RD STE 112",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199811",
            "telephone_number": "208-277-9704",
            "fax_number": "208-277-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N MOLTER RD STE 112",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199811",
            "telephone_number": "208-277-9704",
            "fax_number": "208-277-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ALDEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WA",
            "license": "OP60276418",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "11013946A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

Verify at the official NPI Registry.