Weber Podiatry LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

212 Issued in OK

Legal business name

WEBER PODIATRY LLC

Practice address

1501 Autumn Creek Dr
Edmond, OK 73003-3500

Phone

(405) 819-1182

Fax

(405) 285-8921

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Kiersten B Weber, DPMNPI 1518999887

Title

Owner

Phone

(405) 819-1182

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiersten Bridget Weber, DPM

  • Podiatrist
  • Oklahoma City, OK
  • NPI 1518999887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1609395854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8373",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730838373",
            "telephone_number": "14058191182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AUTUMN CREEK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033500",
            "telephone_number": "405-819-1182",
            "fax_number": "405-285-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KIERSTEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-819-1182",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OK",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoee Mae Weaver
• McKenna Webb, OTR
• Nicole Christian Webb
• Sidney Webb
• Ty'Ahna Webb
• Coby Wayne Webster, PHARM. D
• Charles C Weddle Jr., M.D.
• Alexis Weil
• Rebecca Ann Welden
• Cathey Welker, PA-C

• Podiatric Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Podiatric Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.