Weber Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEBER FAMILY DENTISTRY LLC

Practice address

1213 E Coolspring Ave
Michigan City, IN 46360-6319

Phone

(219) 872-9151

Fax

(219) 873-3341

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Douglas W Weber, DDS

Title

Partner

Phone

(219) 872-9151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1992240642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606319",
            "telephone_number": "219-872-9151",
            "fax_number": "219-873-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606319",
            "telephone_number": "219-872-9151",
            "fax_number": "219-873-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-872-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Ann Wallace, DNP, PMHNP-BC
• Emily Walters, R.D
• Waterford Hearing Center
• Michelle M Webb, LCSW
• Hayley Elizabeth Webdell
• Catherine Weber, RPA
• Douglas W Weber, DDS
• James D Weber, D.D.S.
• Wendy Sue Wectawski, LSW
• Weldon Cooke MD LLC

• General Practice Dentistry in Michigan City, IN
• Providers in Michigan City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.