Active NPI
Brandon J Webb, D.D.S., M.S.D.
- Endodontics
- Fair Oaks, CA
National Provider Identifier
1972840296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 62128
- Practice address
- 6600 Mercy CT Ste 200
Fair Oaks, CA 95628-3198 - Phone
- (916) 472-1562
- NPI assigned
- Jan 7, 2013
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 62128 | CA | Primary |
Addresses
Primary practice location
6600 Mercy CT Ste 200
Fair Oaks, CA 95628-3198
Mailing address
1420 E Roseville Pkwy
Suite 140-370
Roseville, CA 95661-3078
Phone (916) 481-3636
Other practice location 1
2322 Butano Dr
Suite 212A
Sacramento, CA 95825-0629
Phone (916) 481-3636 ext. 101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20180614003113 | CA | Order and Referring Only - Dentist | 3779838776 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1972840296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 E ROSEVILLE PKWY",
"address_2": "SUITE 140-370",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613078",
"telephone_number": "916-481-3636",
"fax_number": "916-481-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 MERCY CT STE 200",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283198",
"telephone_number": "916-472-1562"
}
],
"practiceLocations": [
{
"address_1": "2322 Butano Dr",
"address_2": "Suite 212A",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958250629",
"country_code": "US",
"telephone_number": "916-481-3636 x101",
"fax_number": "916-481-3637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "BRANDON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-07",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "62128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.