Active NPI
Gary Weber, D.D.S.
- Dentist
- Sterling, CO
National Provider Identifier
1750301396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 523
- Practice address
- 1402 S 3Rd Ave
Sterling, CO 80751-4650 - Phone
- (970) 522-6280
- Fax
- (970) 522-6281
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 523 | CO | Primary |
Addresses
Primary practice location
1402 S 3Rd Ave
Sterling, CO 80751-4650
Mailing address
1402 S 3Rd Ave
Sterling, CO 80751-4650
Phone (970) 522-6280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02005239 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750301396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S 3RD AVE",
"city": "STERLING",
"state": "CO",
"postal_code": "807514650",
"telephone_number": "970-522-6280",
"fax_number": "970-522-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S 3RD AVE",
"city": "STERLING",
"state": "CO",
"postal_code": "807514650",
"telephone_number": "970-522-6280",
"fax_number": "970-522-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02005239",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.