Active NPI
Brian Jeffrey Webb, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Soddy Daisy, TN
National Provider Identifier
1821318890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9115
- Practice address
- 10407 Dayton Pike
Soddy Daisy, TN 37379-5213 - Phone
- (423) 442-5463
- NPI assigned
- Jun 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3760 | AR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9115 | TN | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5948 | LA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN014509 | GA |
Addresses
Primary practice location
10407 Dayton Pike
Soddy Daisy, TN 37379-5213
Mailing address
10407 Dayton Pike
Soddy Daisy, TN 37379-5213
Phone (423) 442-5463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533334 | Medicaid | TN | |
| 183644608 | Medicaid | AR |
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 |
|---|---|---|---|
| 3760 | AR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DN014509 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 5948 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas C. Flanagan, D.D.S. | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Soddy Daisy, TN
- NPI 1851648778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1821318890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10407 DAYTON PIKE",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795213",
"telephone_number": "423-442-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10407 DAYTON PIKE",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795213",
"telephone_number": "423-442-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "BRIAN",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AR",
"license": "3760",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "9115",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "5948",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN014509",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1533334",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183644608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Soddy Daisy, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.