Jordan Weber

Individual provider Active NPI General Practice Dentistry · Burlington, KS

NPI 1831750686 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1831750686
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
616600 (KS)
Practice address
314 Neosho St
Burlington, KS 66839-1926
Phone
(620) 364-8414
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Dentist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 State Hospital Dr
Osawatomie, KS 66064-1813

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
616600KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Weber DDS Current Accepting new patients

Locations

314 Neosho St
Burlington, KS 66839
Phone (620) 364-8414

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 616600 KS Yes

Addresses

Primary practice location

314 Neosho St
Burlington, KS 66839-1926

Mailing address

314 Neosho St
Burlington, KS 66839-1926
Phone (620) 364-8414

Other practice location 1

1401 SW 37th St
Topeka, KS 66611-2624
Phone (785) 783-7550

Other providers in Burlington, KS

All providers in Burlington, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.