Active NPI
Cicely Quade Webb, DDS
- Dentist
- Wylie, TX
National Provider Identifier
1508438847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37522
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231115001900 | TX | Order and Referring Only - Dentist | 3375990187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37522 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haslet Family Dental PLLC | Dentist | Current | Accepting new patients |
| Woodbridge Dental Group and Orthodontics, PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Haslet, TX
- NPI 1831550334
-
- General Practice Dentistry
- Wylie, TX
- NPI 1386975217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.