Stephen William Webster Jr., DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

30.023770 Issued in OH

Practice address

5040 Forest Drive, Suite 210
New Albany, OH 43054

Phone

(614) 245-4332

Fax

(614) 245-4108

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1972866580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FOREST DRIVE, SUITE 210",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "614-245-4332",
            "fax_number": "614-245-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FOREST DRIVE, SUITE 210",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "614-245-4332",
            "fax_number": "614-245-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023770",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.023770",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin E Warren Jr., M.D. M.S.M.M. C.P.E
• Kendall May Waterhouse, PT, DPT
• Brittany C Waters, DDS
• Colin Mahlon Watson, PA
• Megan Elizabeth Webster, MSW, LISW
• Zachary Webster, PT, DPT, SCS
• Mary Jo P Welker, MD
• James Maurice Wellbaum II, M.D.
• Christopher James Wendel, PHD, DBSM
• Susan Jane Wertz, PT

• Dentist in New Albany, OH
• Providers in New Albany, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.

Verify at the official NPI Registry.