Active NPI
Raymond T Webber, DDS,MS
- Endodontics
- Williston, FL
National Provider Identifier
1821261306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN0009017
- Practice address
- 610 SW 1St Ave
Williston, FL 32696 - Phone
- (352) 529-0055
- Fax
- (352) 529-2022
- NPI assigned
- Apr 7, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN0009017 | FL | Primary |
Addresses
Primary practice location
610 SW 1St Ave
Williston, FL 32696
Mailing address
610 SW 1St Ave
Williston, FL 32696-2516
Phone (529) 352-0055
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0009017 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1821261306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SW 1ST AVE",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962516",
"telephone_number": "529-352-0055",
"fax_number": "352-529-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SW 1ST AVE",
"city": "WILLISTON",
"state": "FL",
"postal_code": "32696",
"telephone_number": "352-529-0055",
"fax_number": "352-529-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER",
"first_name": "RAYMOND",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN0009017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.