NPIMap

Organization Active NPI

S. W. Webber, III, DDS, PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1912179706
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5647 Issued in NC
Legal business name
S. W. WEBBER, III, DDS, PA
Practice address
518 East Blvd
Charlotte, NC 28203-5110
Phone
(704) 332-5848
Fax
(704) 332-5817
NPI assigned
Apr 1, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Spurgeon Willard Webber III, D.D.S.NPI 1265500839
Title
Dentist/Owner
Phone
(704) 332-5848

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 5647 NC Primary

Addresses

Primary practice location

518 East Blvd
Charlotte, NC 28203-5110

Mailing address

518 East Blvd
Charlotte, NC 28203-5110
Phone (704) 332-5848

Other identifiers 1

IdentifierTypeStateIssuer
890145BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Spurgen W Webber III DDS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1912179706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035110",
            "telephone_number": "704-332-5848",
            "fax_number": "704-332-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035110",
            "telephone_number": "704-332-5848",
            "fax_number": "704-332-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. W. WEBBER, III, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "SPURGEON",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "704-332-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890145B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.