Active NPI
Jordan Weber
- General Practice Dentistry
- Burlington, KS
National Provider Identifier
1831750686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 616600
- Practice address
- 314 Neosho St
Burlington, KS 66839-1926 - Phone
- (620) 364-8414
- NPI assigned
- Jun 24, 2019
- Last updated
- Dec 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 616600 | KS | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 State Hospital Dr
Osawatomie, KS 66064-1813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616600 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Weber DDS | Current | Accepting new patients | |
| Larry C. Hargreaves, DDS | Past | Accepting new patients |
Locations
314 Neosho St
Burlington, KS 66839
Phone (620) 364-8414
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Burlington, KS
- NPI 1114140225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1831750686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 NEOSHO ST",
"city": "BURLINGTON",
"state": "KS",
"postal_code": "668391926",
"telephone_number": "620-364-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 NEOSHO ST",
"city": "BURLINGTON",
"state": "KS",
"postal_code": "668391926",
"telephone_number": "620-364-8414"
}
],
"practiceLocations": [
{
"address_1": "1401 SW 37th St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666112624",
"country_code": "US",
"telephone_number": "785-783-7550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "616600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.