Klint Layton Webb, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4543 Issued in AZ

Practice address

3130 E Baseline Rd Ste 103-104
Mesa, AZ 85204-7290

Phone

(480) 539-7618

Fax

(480) 539-1704

NPI assigned

Nov 5, 2009

Last updated

Jun 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohana Kids & Family Kare LLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1003356320
  Medicare reassignment
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1821050907

  Medical

  NPD (past)
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Tempe, AZ
  • NPI 1821288606

  Medical

  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1649507088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD STE 103-104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-539-7618",
            "fax_number": "480-539-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD STE 103-104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-539-7618",
            "fax_number": "480-539-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KLINT",
        "middle_name": "LAYTON",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Weaver, RD
• Sara Weaver
• Aaron Joseph Webb, PHARMD
• Jamie Darren Webb, PT, DPT
• Kimberly E. Webb, SLPA
• Sydney Brooke Webb, RBT
• Tamara Webb, RBT
• Travis James Webb, MSW, LMSW
• Emily Weber
• Frances B Weber

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.

Verify at the official NPI Registry.