Active NPI
Christopher Ryan Weber, DMD
- Dentist
- Saint Louis, MO
National Provider Identifier
1689083958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2011027046
- Practice address
- 10745 Sunset Hills PLZ
Saint Louis, MO 63127-1207 - Phone
- (314) 821-6800
- NPI assigned
- Aug 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2011027046 | MO | Primary |
Addresses
Primary practice location
10745 Sunset Hills PLZ
Saint Louis, MO 63127-1207
Mailing address
209 Hunters Heights CT
Eureka, MO 63025-1086
Phone (618) 978-6965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20150729010191 | MO | Order and Referring Only - Dentist | 8123332566 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011027046 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot I. Leon, DDS, PC | Past | Accepting new patients | |
| Sainy Ali Adel DDS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Florissant, MO
- NPI 1679763411
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1700520574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1689083958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 HUNTERS HEIGHTS CT",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251086",
"telephone_number": "618-978-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10745 SUNSET HILLS PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271207",
"telephone_number": "314-821-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-11",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011027046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.