Active NPI
Matthew K Webster, DO
- Family Medicine Physician
- Ankeny, IA
National Provider Identifier
1891884029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-03820
- Practice address
- 1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003 - Phone
- (515) 964-4600
- Fax
- (515) 963-4142
- NPI assigned
- Oct 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7929 | IA | |
| Family Medicine Physician | 207Q00000X | DO-03820 | IA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | DO-03820 | IA |
Addresses
Primary practice location
1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003
Mailing address
1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003
Phone (515) 964-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01437244 | Other | IA | RR MEDICARE |
| 1891884029 | Medicaid | IA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-03820 | IA | MD | Family Medicine Physician |
| R7929 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1891884029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 N ANKENY BLVD STE 100",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234003",
"telephone_number": "515-964-4600",
"fax_number": "515-963-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 N ANKENY BLVD STE 100",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234003",
"telephone_number": "515-964-4600",
"fax_number": "515-963-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "MATTHEW",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R7929",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-03820",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IA",
"license": "DO-03820",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01437244",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891884029",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.