DOUGLAS S WEAVER DDS APC (NPI# 1437281094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437281094 |
| Entity Type | Organization |
| Organization Name | DOUGLAS S WEAVER DDS APC |
| Practice Address |
326 4th St Ste 205 Juneau AK 99801-1167 |
| Practice Telephone | 9075863220 |
| Practice Fax Number | 9075862905 |
| Mailing Telephone | 9075863220 |
| Mailing Fax Number | 9075862905 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS S WEAVER (PRESIDENT) |
| Authorized Official Telephone | 9075863220 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
492 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD0492 | 05 | |
| AK | NPI PROVIDER ENUMERATOR | 1447226360 | 01 |
| Street Address |
326 4TH ST STE 205 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1447610365 | Mark S. Riederer D.d.s. LLC. | Dentist | 9309 Glacier Hwy Ste A101, Juneau, AK 99801-7018 | 2016-03-04 |
| 1952612186 | Mindy Jo Shaw | Dentist | 2247 Jordan Ave, Juneau, AK 99801-8050 | 2010-06-22 |
| 1982789566 | Gary A Moeller | Dentist | 2247 North Jordan Ave, Juneau, AK 99801 | 2006-10-25 |
| 1457449373 | Anthony Francis Nizich | Dentist | 2219 Jordan Ave, Juneau, AK 99801-8050 | 2006-10-10 |
| 1184630139 | John K Laskey | Dentist | 641 W Willoughby Ave, Ste. 204, Juneau, AK 99801-1731 | 2006-07-31 |
| 1366465882 | Mark S. Riederer | Dentist | 9309 Glacier Hwy, B-105, Juneau, AK 99801-9306 | 2006-07-25 |
| 1447226360 | Douglas S Weaver | Dentist | 326 4th St, Ste 205, Juneau, AK 99801-1146 | 2006-02-28 |
| 1457349326 | Benjamin R. Gilbert | Dentist | 418 4th St, Juneau, AK 99801-1004 | 2005-10-13 |
| 1003813734 | Lonnie Arthur Anderson | Dentist | 9211 Lee Smith Drive, Juneau, AK 99801 | 2005-07-07 |
| 1861499212 | Edward Michael Mckrill | Dentist | 9191 Lee Smith Dr, Juneau, AK 99801-8017 | 2005-06-30 |
| Find all providers in JUNEAU | ||||
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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.