Webber Dentistry at South Park

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5647 Issued in NC

Legal business name

WEBBER DENTISTRY AT SOUTH PARK

Practice address

5940 Fairview Rd
Suite # 103
Charlotte, NC 28210-3125

Phone

(704) 247-4030

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Spurgeon W Webber, DDS

Title

Owner/President

Phone

(704) 247-4030

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Spurgen W Webber III DDS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• S. W. Webber, III, DDS, PA

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1912179706
  NPD tax ID
• Suprgeon W Webber III DDS Ta

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1922349125
  NPD tax ID

Locations

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1619309143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 FAIRVIEW RD",
            "address_2": "SUITE # 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103125",
            "telephone_number": "704-247-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 FAIRVIEW RD",
            "address_2": "SUITE # 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103125",
            "telephone_number": "704-247-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBBER DENTISTRY AT SOUTH PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "SPURGEON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-247-4030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265500839",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID  UNITED CONCORDIA",
            "identifier": "101749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Allen Webb
• Regina Webb
• Sherrie Rackley Webb, PA-C
• Siriporn Webb, DDS
• Wanda Marie Webb, PHD
• Briana Melissa Webber-Lind, PSYD
• Brittany Coggin Webber, MA, LCMHCA, LSC, NCC
• Gardner Webber, NCCPSS, AFPA HNC
• Jessica Webber
• Spurgeon Willard Webber III, D.D.S.

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.