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S. W. WEBBER D.D.S., P.A.
NPI 1649289760
Dentist - General Practice in Charlotte, NC

Active since August 07, 2006
2120 KELLER AVE, CHARLOTTE, NC 28216(704) 392-9357(704) 394-9098 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About S. W. Webber D.d.s., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S. W. WEBBER D.D.S., P.A. (NPI 1649289760) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since August 2006. The organization lists Spurgeon Willard Webber, President, as its authorized official.

NPPES Registry Identity

NPI1649289760
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameS. W. WEBBER D.D.S., P.A.
Location Address2120 KELLER AVECharlotte, NC 28216-4632
Mailing Address2120 Keller AveCharlotte, NC 28216-4632 · (704) 392-9357 · Fax (704) 394-9098
Phone(704) 392-9357
Fax(704) 394-9098
Organization SubpartNo
Authorized OfficialSpurgeon Willard WebberPresident · (704) 392-9357
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1649289760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 2678
Definition
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.
2120 KELLER AVE, Charlotte, NC 28216
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Other Identifiers 1

Medicaid890160JNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S. W. Webber D.d.s., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S. W. Webber D.D.S., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Spurgeon Webber, D.D.S.
Dentist
NPI 1265500839
518 EAST BLVD WEBBER DENTAL BUILDING
Charlotte, NC 28203
(704) 332-5848
✔ PECOS3.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S. W. Webber D.D.S., P.A.'s NPI number?

The NPI number for S. W. Webber D.D.S., P.A. is 1649289760. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is S. W. Webber D.D.S., P.A. located?

S. W. Webber D.D.S., P.A. is located at 2120 Keller Ave, Charlotte, NC 28216. The listed phone number is (704) 392-9357.

What is S. W. Webber D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is S. W. Webber D.D.S., P.A. enrolled in Medicare?

Yes. S. W. Webber D.D.S., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S. W. Webber D.D.S., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to S. W. Webber D.D.S., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S. W. Webber D.D.S., P.A. was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.