Weber Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6921 Issued in IA

Legal business name

WEBER DENTAL

Practice address

208 N Walnut St
Glenwood, IA 51534-1426

Phone

(712) 527-4801

Fax

(712) 527-4821

NPI assigned

Jan 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Calvin A. Weber, DDS

Title

Partner

Phone

(712) 527-4801

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982756623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N WALNUT ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341426",
            "telephone_number": "712-527-4801",
            "fax_number": "712-527-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N WALNUT ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341426",
            "telephone_number": "712-527-4801",
            "fax_number": "712-527-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "712-527-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5354",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212704",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113308",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanen Taylor
• Steven Lee Taylor, BCBA
• Judy Thomas
• Jennifer Van Meeteren, APRN-NP
• Angela Joy Wahle, PHARMD
• Calvin A. Weber, DDS
• Melissa Weeks
• Alexis Westercamp, BCBA
• Nathan Wayne Weston, PHARM D.
• Anne L White, M.A.

• General Practice Dentistry in Glenwood, IA
• Providers in Glenwood, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.