DR CASEY WEBER DDS LLC (NPI# 1629428602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629428602 |
| Entity Type | Organization |
| Organization Name | DR CASEY WEBER DDS LLC |
| Practice Address |
1601 Kaliste Saloom Rd Lafayette LA 70508-6109 |
| Mailing Address |
1101 Broadmoor Blvd Lafayette LA 70503-5209 |
| Practice Telephone | 3377042126 |
| Mailing Telephone | 3373565262 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | DR. CASEY WEBER (OWNER) |
| Authorized Official Telephone | 3373565262 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6676 | LA | Ambulatory Health Care Facilities |
| Street Address |
1601 KALISTE SALOOM RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154545317 | Gina Liggio Maestri | Dentist | 1601 Kaliste Saloom Rd, Lafayette, LA 70508-6109 | 2007-04-12 |
| 1487103925 | Casey Weber | Dentist | 1601 Kaliste Saloom Rd, Lafayette, LA 70508-6109 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728934 | Angela F. Bayat Dds Apdc | Clinic/Center | 895 Moraga Rd Ste 5, Lafayette, CA 94549-5039 | 2019-03-05 |
| 1689146920 | Raelene Fulford Dds Pllc | Clinic/Center | 110 Old Laramie Trl Ste 105, Lafayette, CO 80026-7010 | 2018-12-27 |
| 1750724613 | Shane T Cope LLC | Clinic/Center | 4921 State Road 26 E, Suite 100, Lafayette, IN 47905-4608 | 2013-04-10 |
| 1760761704 | Batliner Dental Health, Pllc | Clinic/Center | 2695 N Park Dr, Suite 104, Lafayette, CO 80026-3177 | 2011-08-09 |
| 1063681914 | Imagdent Acadiana, L.L.C. | Clinic/Center | 1225 Coolidge Blvd, Lafayette, LA 70503-2620 | 2008-02-25 |
| 1083212591 | Rebecca Jardine, Dds, Inc. | Clinic/Center | 915 Village Ctr, Lafayette, CA 94549-3504 | 2020-10-16 |
| 1932718335 | Lafayette Endodontics, LLC | Clinic/Center | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2020-07-31 |
| 1245861665 | Taylor Houston Shank, Dds, A Professional Dental Corporation | Clinic/Center | 313 E Main St, Lafayette, LA 70501-8061 | 2020-02-04 |
| 1952872194 | Tfdc- Lafayette, LLC | Clinic/Center | 121 Rue Louis Xiv, Ste 2, Lafayette, LA 70508 | 2018-12-16 |
| 1407364730 | Vintage L Delahoussaye Dds Apdc | Clinic/Center | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2018-01-22 |
| Find all providers in LAFAYETTE | ||||
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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.