BRIAN C. WEAVER, DDS, LLC (NPI# 1083907539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083907539 |
| Entity Type | Organization |
| Organization Name | BRIAN C. WEAVER, DDS, LLC |
| Other Organization Name | RIVERSTONE ORAL & DENTAL IMPLANT SURGERY |
| Practice Address |
627 Office Pkwy Suite B Westerville OH 43082-7988 |
| Mailing Address |
5551 Bristol Pkwy Dublin OH 43017-8359 |
| Practice Telephone | 6145680230 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-08-21 |
| Authorized Official Name | DR. BRIAN CHRISTOPHER WEAVER (OWNER) |
| Authorized Official Telephone | 6145680230 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
30022509 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverstone Oral & Dental Implant Surgery | Doing Business As Name - Organization |
| Street Address |
627 OFFICE PKWY SUITE B |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43082-7988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033259825 | Gretchen Raymond Zody | Dentist | 627 Office Pkwy, Westerville, OH 43082-7814 | 2007-02-08 |
| 1326576455 | Tyler Anderson | Dentist | 627 Office Pkwy, Westerville, OH 43082-7814 | 2017-06-02 |
| 1093242463 | Shawn Rajendram | Dentist | 627 Office Pkwy, Westerville, OH 43082-7814 | 2017-05-17 |
| 1033231238 | Brian Christopher Weaver | Dentist | 627 Office Pkwy, Suite B, Westerville, OH 43082-7988 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501509 | Taylor Wucinich | Audiologist | 387 County Line Rd W Ste 116, Westerville, OH 43082 | 2018-06-11 |
| 1366940132 | Hogan Nicklaus Marshall | Specialist/Technologist | 7118 Mount Royal Ave, Westerville, OH 43082 | 2018-01-26 |
| 1356858450 | Margaret Adams | Chiropractor | 387 County Line Rd. W, 215, Westerville, OH 43082 | 2018-01-10 |
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1629324553 | Mavis Asamoah | Licensed Practical Nurse | 5401 Country Meadow Ct, Westerville, OH 43082 | 2012-07-30 |
| 1326283698 | Amy Lyn Gosnell | Dermatology | 300 Polaris Pkwy Ste 3300, Westerville, OH 43082 | 2008-12-15 |
| 1215186705 | Molly Hauer | Nursing Facility/Intermediate Care Facility | 7017 Laver Ln, Westerville, OH 43082 | 2008-09-09 |
| 1013181205 | Tridia Hospice Care, Inc. | Hospice Care, Community Based | 110 Polaris Pkwy Ste 302, Westerville, OH 43082 | 2008-04-17 |
| 1174702070 | Kathryn J Watkins Younkin | Dentist | 450 Alkyre Run Dr, Suite 290, Westerville, OH 43082 | 2007-10-26 |
| 1033300900 | Audrey Jones | Student in an Organized Health Care Education/Training Program | 187 W. Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43082 | 2007-08-06 |
| Find all providers in zip 43082 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073855193 | Buckeye Oral & Maxillofacial Surgey | Clinic/Center | 110 Polaris Parkway, Suite 110, Westerville, OH 43082-0000 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131528 | James A Maxwell Jr Dds, Inc | Clinic/Center | 2210 Olympic St, Springfield, OH 45503-2737 | 2018-10-29 |
| 1013450014 | Muskingum Valley Oral Surgery, Inc. | Clinic/Center | 7297 John Glenn Hwy, Cambridge, OH 43725-9034 | 2016-11-22 |
| 1164854774 | Comprehensive Oral & Maxillofacial Surgery Center | Clinic/Center | 5319 Meadow Lane Ct, Sheffield Village, OH 44035-1469 | 2013-08-06 |
| 1508209446 | Nationwide Children's | Clinic/Center | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-04-10 |
| 1760723902 | Case School of Dental Medicine | Clinic/Center | 2124 Cornell Rd, Cleveland, OH 44106-3804 | 2013-03-13 |
| 1356667323 | Dennis G Pettit Dds Inc | Clinic/Center | 1762 Commerce Center Blvd, Fairborn, OH 45324-6358 | 2010-04-15 |
| 1427383272 | Western Reserve Center for Orofacial and Cosmetic Surgery | Clinic/Center | 14700 Detroit Ave, Lakewood, OH 44107-4116 | 2009-10-13 |
| 1700027042 | Kenneth J Molnar Dds Inc | Clinic/Center | 2191 Park Ave W, Mansfield, OH 44906-1226 | 2009-03-17 |
| 1861663106 | Center for Oral and Maxillofacial Surgery | Clinic/Center | 28871 Center Ridge Rd, Suite 104, Westlake, OH 44145-5271 | 2008-03-14 |
| 1821293648 | Richard J. Lee Dds Inc | Clinic/Center | 801 Sandusky St, Fostoria, OH 44830-2747 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43082 |
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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.