NPIMap

Organization Active NPI

Weber Family Dentistry LLC

  • General Practice Dentistry
  • Cannon Falls, MN
National Provider Identifier
1881997070
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEBER FAMILY DENTISTRY LLC
Practice address
925 4TH Street South
Cannon Falls, MN 55009
Phone
(507) 263-3965
Fax
(507) 263-9485
NPI assigned
Dec 10, 2010
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Gregory Stephen Weber, DDSNPI 1164489266
Title
Owner/Member
Phone
(507) 263-3965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

925 4TH Street South
Cannon Falls, MN 55009

Mailing address

PO Box 15
Cannon Falls, MN 55009
Phone (507) 263-3965

National Provider Directory

National Provider Directory

Locations

925 4th St S
Cannon Falls, MN 55009
Phone (507) 263-3965

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1881997070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "55009",
            "telephone_number": "507-263-3965",
            "fax_number": "507-263-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 4TH STREET SOUTH",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "55009",
            "telephone_number": "507-263-3965",
            "fax_number": "507-263-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "507-263-3965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.