DR. MARY KATHERINE WEBER (NPI# 1083787170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083787170 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHERINE WEBER |
| Credential | DMD |
| Practice Address |
1063 10th St Charleston IL 61920-2885 |
| Practice Telephone | 2173452176 |
| Practice Fax Number | 2173452195 |
| Mailing Telephone | 2173452176 |
| Mailing Fax Number | 2173452195 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1924312 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | AGA NUMBER | 201122 | 01 |
| IL | LISENSE NUMBER | 1924312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104207018 | Mary Weber | Counselor | 1500 S Sycamore Ave, Suite 102, Sioux Falls, SD 57110-3708 | 2015-06-16 |
| 1821223736 | Mary F Weber | Counselor | 1780 Career Center Rd, Bourbonnais, IL 60914-5176 | 2009-05-20 |
| 1548348923 | Mary Bernadette Weber | Anesthesiology | 2510 East 15th St Suite 2, Wyoming Medical Center, Casper, WY 82601 | 2006-11-01 |
| 1023025970 | Mary Therese Weber | Nurse Practitioner | 8801 Lipan St, Thornton, CO 80260-4912 | 2006-08-02 |
| 1669802187 | Mary Weber | Nurse Practitioner | 5300 Alpha Commons Dr, Suite 105, Baltimore, MD 21224-2764 | 2013-11-19 |
| 1871813824 | Mary Weber | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2010-06-01 |
| 1346413200 | Mary Ann Weber | Counselor | 3810 Central Ave, Kearney, NE 68847-8134 | 2008-04-10 |
| 1538367909 | Mary C. Weber | Nurse Practitioner | 13122 120th Ave Ne, Kirkland, WA 98034-3014 | 2007-07-06 |
| 1144426255 | Mary Ann Weber | Nurse Practitioner | 601 Elmwood Ave, Box 655, Rochester, NY 14642-0001 | 2007-06-25 |
| 1740494764 | Mary Larson Weber | Physical Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2007-05-09 |
| Street Address |
1063 10TH ST |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548313463 | Robert E Blagg | Dentist | 1063 10th St, Charleston, IL 61920-2885 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 1427673946 | Leslie Jordan Mcgarity | Dentist | 29 Bee Street Dc 271 Msc 507, Charleston, SC 29425-0001 | 2020-06-10 |
| 1629691449 | Tgd-west Ashley LLC | Dentist | 2048 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4673 | 2020-05-27 |
| 1922650647 | Kinnara Vasamsetti Emmons | Dentist | 46 Queen St Apt B, Charleston, SC 29401-2805 | 2019-07-12 |
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1114586054 | Charleston Dental Associates, LLC | Dentist | 915 Saint Andrews Blvd, Charleston, SC 29407-7138 | 2019-06-12 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.