Organization Active NPI

David Lee Webber, D.O. P.a.

  • Rural Health Clinic/Center
  • Forrest City, AR
National Provider Identifier
1972740678
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
R4242 Issued in AR
Legal business name
DAVID LEE WEBBER, D.O. P.A.
Practice address
328 Kittle Rd
Forrest City, AR 72335-2960
Phone
(870) 633-0220
Fax
(870) 295-4795
NPI assigned
Jan 16, 2009
Organization subpart
Yes
Parent organization
DAVID LEE WEBBER, D.O. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Ms. Frankie Williams, CCS
Title
Practice Manager
Phone
(870) 633-0220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X R4242 AR
Rural Health Clinic/Center 261QR1300X R4242 AR Primary

Addresses

Primary practice location

328 Kittle Rd
Forrest City, AR 72335-2960

Mailing address

207 W Chestnut St
Marianna, AR 72360-2071
Phone (870) 295-2367

Other identifiers 1

IdentifierTypeStateIssuer
179887729MedicaidAR

Other names 1

  • Webber Family Practice Other name

National Provider Directory

National Provider Directory
Part of
David Lee Webber DO PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1972740678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W CHESTNUT ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602071",
            "telephone_number": "870-295-2367",
            "fax_number": "870-295-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 KITTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352960",
            "telephone_number": "870-633-0220",
            "fax_number": "870-295-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEE WEBBER, D.O. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID LEE WEBBER, D.O. P.A.",
        "enumeration_date": "2009-01-16",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "870-633-0220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "R4242",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "R4242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179887729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webber Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.