Individual provider Active NPI

Neko Lynn Webb, DDS

  • Dentist
  • Fayetteville, NC
National Provider Identifier
1962014696
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12018 Issued in NC
Practice address
2050 Skibo Rd Ste 104
Fayetteville, NC 28314-3161
Phone
(910) 605-4106
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12018 NC Primary

Addresses

Primary practice location

2050 Skibo Rd Ste 104
Fayetteville, NC 28314-3161

Mailing address

5209 Horizon Dr
Fayetteville, NC 28312-8505
Phone (910) 257-2617

Other practice location 1

10868 US 15 501 Hwy
Southern Pines, NC 28387-5149
Phone (910) 992-3089

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1962014696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 HORIZON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128505",
            "telephone_number": "910-257-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SKIBO RD STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143161",
            "telephone_number": "910-605-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10868 US 15 501 Hwy",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283875149",
            "country_code": "US",
            "telephone_number": "910-992-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "NEKO",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.