Mathias J Weber, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4628-015 Issued in WI

Practice address

17585 W North Ave
Suite 260
Brookfield, WI 53045-4365

Phone

(262) 782-7120

Fax

(262) 782-0656

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Weber Dental LLC

  • Dentist
  • Brookfield, WI
  • NPI 1679819858
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912079583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17585 W NORTH AVE",
            "address_2": "SUITE 260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454365",
            "telephone_number": "262-782-7120",
            "fax_number": "262-782-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17585 W NORTH AVE",
            "address_2": "SUITE 260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454365",
            "telephone_number": "262-782-7120",
            "fax_number": "262-782-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MATHIAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4628-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Warren, BCBA
• Sarah Wasielewski, OTR
• We Care Personal Care LLC
• John David Wean, MD
• Weber Dental LLC
• Nicholas J Weber, D.O.
• Regina Mae Weber, MS
• Sarah Weber
• Irene Arlene Wedemeyer, OTR
• Weighless MD, LLC

• General Practice Dentistry in Brookfield, WI
• Providers in Brookfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.