Active NPI
Paul C Weber, DDS
- General Practice Dentistry
- Sheboygan Falls, WI
National Provider Identifier
1972692333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5001809
- Practice address
- 200 Monroe St
Sheboygan Falls, WI 53085-1428 - Phone
- (920) 467-4646
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001809 | WI | Primary |
Addresses
Primary practice location
200 Monroe St
Sheboygan Falls, WI 53085-1428
Mailing address
200 Monroe St
Sheboygan Falls, WI 53085-1428
Phone (920) 467-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150225001964 | WI | Order and Referring Only - Dentist | 8527384130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falls Health View Dental, SC | General Practice | Past | Accepting new patients |
| Falls Dental, S.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Sheboygan Falls, WI
- NPI 1497844773
-
- General Practice Dentistry
- Sheboygan Falls, WI
- NPI 1083994834
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": "1183852800000",
"number": "1972692333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MONROE ST",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530851428",
"telephone_number": "920-467-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MONROE ST",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530851428",
"telephone_number": "920-467-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5001809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan Falls, WI
- Alma Elizabeth Tovar Carreon, NURSE PRACTITIONER
- Leda Vang
- Alexia Page Vorpagel, LPC
- Shana L Wagner, MSN, FNP-BC
- Warhawk Ventures Inc. (Hear Again America)
- Susan M Williams, LCSW
- Wisconsin CVS Pharmacy LLC (CVS Pharmacy #17000)
- Diane M Woehlke, DNP, FNP-BC
- Miranda Zeeveld
- Christyl Jean Zielinski, PTA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.