Individual provider Active NPI

Weber Herbison, DMD

  • General Practice Dentistry
  • Forest, MS
National Provider Identifier
1689569964
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111166 Issued in MS
Practice address
208 W Third St
Forest, MS 39074-4106
Phone
(601) 469-4881
Fax
(601) 469-4881
NPI assigned
Jun 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111166 MS Primary

Addresses

Primary practice location

208 W Third St
Forest, MS 39074-4106

Mailing address

208 W Third St
Forest, MS 39074-4106
Phone (601) 469-4881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111166MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Herbison Dental LLC General Practice CurrentSince Jul 13, 2025 Accepting new patients
Reynolds Dental Practice General Practice PastSince Jun 15, 2025 Accepting new patients

Locations

208 W Third St
Forest, MS 39074
Phone (601) 469-4881

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1689569964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744106",
            "telephone_number": "601-469-4881",
            "fax_number": "601-469-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744106",
            "telephone_number": "601-469-4881",
            "fax_number": "601-469-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBISON",
        "first_name": "WEBER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "111166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.