Active NPI
Gary E. Weber, DDS, PC
- General Practice Dentistry
- Connersville, IN
National Provider Identifier
1508236258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007534A
- Legal business name
- GARY E. WEBER, DDS, PC
- Practice address
- 1910 Virginia Ave
Connersville, IN 47331-2834 - Phone
- (765) 825-1121
- Fax
- (765) 827-1197
- NPI assigned
- Oct 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary E Weber, DDS
- Title
- DDS/Owner
- Phone
- (765) 825-1121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12007534A | IN | Primary |
Addresses
Primary practice location
1910 Virginia Ave
Connersville, IN 47331-2834
Mailing address
1910 Virginia Ave
Connersville, IN 47331-2834
Phone (765) 825-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250410A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1910 Virginia Ave
Connersville, IN 47331
Phone (765) 825-1121
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Connersville, IN
- NPI 1154843290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444089600000",
"number": "1508236258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 VIRGINIA AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312834",
"telephone_number": "765-825-1121",
"fax_number": "765-827-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 VIRGINIA AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312834",
"telephone_number": "765-825-1121",
"fax_number": "765-827-1197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY E. WEBER, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DDS/OWNER",
"authorized_official_telephone_number": "765-825-1121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12007534A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.