Individual provider Active NPI

Gary M Weber, D.D.S

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1730311820
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019014430 Issued in IL
Practice address
8 W Gartner Rd
Suite 168
Naperville, IL 60540-7521
Phone
(630) 420-9090
Fax
(630) 420-8081
NPI assigned
Aug 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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 019014430 IL Primary

Addresses

Primary practice location

8 W Gartner Rd
Suite 168
Naperville, IL 60540-7521

Mailing address

8 W Gartner Rd
Suite 168
Naperville, IL 60540-7521
Phone (630) 420-9090

Other names 1

  • Dr. Gary M Weber Professional name

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
019014430ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Gantos DDS LLC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250899200000",
    "number": "1730311820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W GARTNER RD",
            "address_2": "SUITE 168",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407521",
            "telephone_number": "630-420-9090",
            "fax_number": "630-420-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W GARTNER RD",
            "address_2": "SUITE 168",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407521",
            "telephone_number": "630-420-9090",
            "fax_number": "630-420-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019014430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "WEBER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.