Individual provider Active NPI

Wes Soben, D.D.S.

  • General Practice Dentistry
  • Abilene, TX
National Provider Identifier
1952482564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21408 Issued in TX
Practice address
4601 Buffalo Gap Rd
Ste. D-1
Abilene, TX 79606-3375
Phone
(325) 695-3300
Fax
(325) 695-9899
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21408 TX Primary

Addresses

Primary practice location

4601 Buffalo Gap Rd
Ste. D-1
Abilene, TX 79606-3375

Mailing address

4601 Buffalo Gap Rd
Ste. D-1
Abilene, TX 79606-3375
Phone (325) 695-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001523 TX Order and Referring Only - DentistPractitioner - Dentist 1052616620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21408TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952482564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "STE. D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "STE. D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEN",
        "first_name": "WES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.