Individual provider Active NPI

Symone Webley, DDS

  • Dentist
  • Aurora, CO
National Provider Identifier
1760558258
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN00201866 Issued in CO
Practice address
23963 E Prospect Ave
Ste E
Aurora, CO 80016-5342
Phone
(303) 400-9898
Fax
(303) 400-9899
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17435 FL
Dentist 122300000X DEN00201866 CO Primary

Addresses

Primary practice location

23963 E Prospect Ave
Ste E
Aurora, CO 80016-5342

Mailing address

12183 W Cross Dr
Unit #302
Littleton, CO 80127-5222

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
DEN00201866COMDDentist
DN17435FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1760558258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 W CROSS DR",
            "address_2": "UNIT #302",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23963 E PROSPECT AVE",
            "address_2": "STE E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165342",
            "telephone_number": "303-400-9898",
            "fax_number": "303-400-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBLEY",
        "first_name": "SYMONE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17435",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00201866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.