Organization Active NPI

Webb Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shelby, NC
National Provider Identifier
1669993812
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10446 Issued in NC
Legal business name
WEBB ORTHODONTICS
Practice address
805 W Warren St
Shelby, NC 28150-5023
Phone
(704) 484-1633
Fax
(704) 484-1632
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Austin Gardner Webb, DMDNPI 1992967079
Title
Owner
Phone
(352) 339-4911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 10446 NC Primary

Addresses

Primary practice location

805 W Warren St
Shelby, NC 28150-5023

Mailing address

805 W Warren St
Shelby, NC 28150-5023
Phone (704) 484-1633

Other practice location 1

492 W Main St
Forest City, NC 28043-2921
Phone (828) 245-5462

Other identifiers 1

IdentifierTypeStateIssuer
1992967079MedicaidNC

National Provider Directory

National Provider Directory

Locations

492 W Main St
Forest City, NC 28043
Phone (828) 245-5462

805 W Warren St
Shelby, NC 28150
Phone (704) 484-1633

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669993812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505023",
            "telephone_number": "704-484-1633",
            "fax_number": "704-484-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505023",
            "telephone_number": "704-484-1633",
            "fax_number": "704-484-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "492 W Main St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280432921",
            "country_code": "US",
            "telephone_number": "828-245-5462",
            "fax_number": "828-245-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBB ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-339-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992967079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.