Active NPI
Justin Scott Weber, DDS
- Dentist
- Ogallala, NE
National Provider Identifier
1629315593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7035
- Practice address
- 401 E a St
Ogallala, NE 69153-2123 - Phone
- (308) 284-4485
- NPI assigned
- Jan 11, 2013
- Last updated
- Aug 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7035 | NE | Primary |
| Dentist | 122300000X | 019029673 | IL |
Addresses
Primary practice location
401 E a St
Ogallala, NE 69153-2123
Mailing address
401 E a St
Ogallala, NE 69153-2123
Phone (308) 284-4485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20160223002355 | NE | Order and Referring Only - Dentist | 7517262934 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7035 | NE | MD | Social Worker |
| 019029673 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1629315593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E A ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532123",
"telephone_number": "308-284-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E A ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532123",
"telephone_number": "308-284-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "JUSTIN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-11",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7035",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogallala, NE
- Usprx Inc (U Save Pharmacy Ogallala)
- Vitality Chiro PC (Vitality Chiropractic Lifestyle Center)
- Walmart Inc. (WalMart Pharmacy 10-7129)
- Kate Lynne Walz
- Sara Yasmine Waychoff, BCBA
- Scott M Weber, DDS
- Dale E Wee, DC
- Kelsy Weidenbacher
- Wel-Life at Ogallala, Inc (Wel-Life at Ogallala)
- Christopher L Williams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.