Barbara Rusanowsky Webster, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-020169 Issued in IL

Practice address

1121 Warren Ave
Ste 130
Downers Grove, IL 60515-3570

Phone

(630) 663-0554

Fax

(630) 663-1025

NPI assigned

Jun 2, 2005

Reactivated

Mar 31, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Yosif Jabir DDS PC

  dba White Oak Family Dental

  • Dentist
  • Downers Grove, IL
  • NPI 1912680158
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1710989876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE",
            "address_2": "STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153570",
            "telephone_number": "630-663-0554",
            "fax_number": "630-663-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE",
            "address_2": "STE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153570",
            "telephone_number": "630-663-0554",
            "fax_number": "630-663-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "BARBARA",
        "middle_name": "RUSANOWSKY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2014-10-30",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-020169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ingrid Watson, MSN, APN, AGPCNP-BC
• Elizabeth Watson, VOCATIONAL THERAPIST
• Mark Waun, DPT
• Lindsay Wawrzyniak, M.S. CFY-SLP
• Weber Chiropractic, P.C.
• C'Rai Weeden Shannon
• Jennifer Wegener, LCPC
• Linda S Weil, O.D.
• Kaitlyn Weiss, MA, BCBA
• Dena S Weitzman, O.D.

• General Practice Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.