Individual provider Active NPI

Cicely Quade Webb, DDS

  • Dentist
  • Wylie, TX
National Provider Identifier
1508438847
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37522 Issued in TX
Practice address
3360 W FM 544 Ste 930
Wylie, TX 75098-9429
Phone
(972) 915-0484
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37522 TX
Dentist 122300000X 37522 TX Primary

Addresses

Primary practice location

3360 W FM 544 Ste 930
Wylie, TX 75098-9429

Mailing address

1534 Sienna CT
Dallas, TX 75204-5242
Phone (972) 951-7158

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Curve Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115001900 TX Order and Referring Only - DentistPractitioner - Dentist 3375990187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37522TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Haslet Family Dental PLLC Dentist CurrentSince Oct 2, 2022 Accepting new patients
Woodbridge Dental Group and Orthodontics, PC General Practice PastSince Sep 5, 2023 Accepting new patients

Locations

2412 Avondale Haslet Rd
Ste 100
Haslet, TX 76052
Phone (435) 256-3437

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1508438847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 SIENNA CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045242",
            "telephone_number": "972-951-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 W FM 544 STE 930",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989429",
            "telephone_number": "972-915-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CICELY",
        "middle_name": "QUADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37522",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Curve",
            "affiliation": "N",
            "endpointDescription": "Dental Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2412 Avondale Haslet Rd Ste 100",
            "city": "Haslet",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760523443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.