Individual provider Active NPI

Denise Webb, D.P.M.

  • Podiatrist
  • Phila, PA
National Provider Identifier
1750313367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-003751-L Issued in PA
Practice address
2813 Cottman Ave
Phila, PA 19149-1421
Phone
(215) 332-9666
Fax
(215) 725-5834
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-003751-L PA Primary

Addresses

Primary practice location

2813 Cottman Ave
Phila, PA 19149-1421

Mailing address

3429 Ashville St
Phila, PA 19136-3019
Phone (215) 338-9861

Other identifiers 4

IdentifierTypeStateIssuer
000432603OtherPAINDIVIDUAL HIGHMARK ID
020749800OtherINDIVIDUAL HMO ID
001757566OtherPAHIGHMARK BLUE SHIELD ID
2423519000OtherPA10-DIGIT HMO ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000120 PA Practitioner - Podiatry 2769438613 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003751-LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colon & Rectal Surgeons, LTD PastSince Jan 28, 1993 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750313367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 ASHVILLE ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191363019",
            "telephone_number": "215-338-9861",
            "fax_number": "215-725-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 COTTMAN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191491421",
            "telephone_number": "215-332-9666",
            "fax_number": "215-725-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "DENISE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003751-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL HIGHMARK ID",
            "identifier": "000432603",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL HMO ID",
            "identifier": "020749800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "001757566",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10-DIGIT HMO ID",
            "identifier": "2423519000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.