Dr. Mary Ann Weber, DDS, Msom, Lac

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 14124 Issued in CA

Legal business name

DR. MARY ANN WEBER, DDS, MSOM, LAC

Practice address

1049 4TH St Ste D
Santa Rosa, CA 95404-4345

Phone

(707) 544-1910

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Weber, DDS, MSOM, LAC

Title

Acupuncturist

Phone

(707) 544-1910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1598039638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 NEBRASKA DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057131",
            "telephone_number": "707-544-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 4TH ST STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044345",
            "telephone_number": "707-544-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY ANN WEBER, DDS, MSOM, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "707-544-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.