DR. JOHN S WEAVER (NPI# 1508933946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508933946 |
| Entity Type | Individual |
| Full Name | DR. JOHN S WEAVER |
| Credential | DDS |
| Practice Address |
3641 Ensign Rd Ne Ste 6a Olympia WA 98506-5046 |
| Practice Telephone | 3609156321 |
| Practice Fax Number | 3604891748 |
| Mailing Telephone | 3609156321 |
| Mailing Fax Number | 3604891748 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00005111 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5550603 | 05 | |
| WA | L & I PROVIDER NUMBER | 0035126 | 01 |
| WA | UNITED CONCORDIA PROVIDER | 000843827 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568833382 | John Kenneth Weaver | Dentist | 1636 Nicholasville Rd Ste 7, Lexington, KY 40503-1432 | 2015-10-20 |
| 1912319427 | John Weaver | Family Medicine | 2821 E President George Bush Hwy Ste 404, Richardson, TX 75082 | 2014-06-02 |
| 1497046148 | John D Weaver | Social Worker | 4635 Hillview Dr, Nazareth, PA 18064-8531 | 2011-04-29 |
| 1518104595 | John Earle Weaver | General Practice | 1760 Wilshire Dr, Aptos, CA 95003-2836 | 2009-01-14 |
| 1952523235 | John K Weaver | Dentist | 35 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-03 |
| 1669518577 | John Weaver | Dentist | 2797 Campbellton Rd Sw, Suite A-4, Atlanta, GA 30311-4455 | 2007-01-29 |
| 1780730366 | John S Weaver | Surgery | 4600 Hale Pkwy Ste 340, Denver, CO 80220-4000 | 2007-01-26 |
| 1326128521 | John Mark Weaver | Dentist | 2000 N Grandview Ave, Odessa, TX 79761 | 2006-10-16 |
| 1114946191 | John C. Weaver Jr. | Internal Medicine | 1035 S Prairie Ave Ste 1, Inglewood, CA 90301-5273 | 2006-07-19 |
| 1689638058 | John Bennett Weaver II | Internal Medicine | 1906 Glenn Blvd Sw, Fort Payne, AL 35968-3545 | 2006-04-13 |
| Street Address |
3641 ENSIGN RD NE STE 6A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1770120792 | Ann Patrice Sabatino | Dentist | 423 38th Ave Ne, Olympia, WA 98506-2417 | 2019-12-09 |
| 1003331331 | Jj Dental LLC | Dentist | 2417 Pacific Ave Se # 1a, Olympia, WA 98501-2052 | 2017-08-08 |
| 1114393360 | Trent Miner | Dentist | 2728 Westmoor Ct Sw, Olympia, WA 98502-5779 | 2015-08-11 |
| 1659712669 | Daniel Michael Walsh | Dentist | 3773c Martin Way E, Olympia, WA 98506-5062 | 2013-07-08 |
| 1154766228 | Nurani, Mitchell, Kim, PC | Dentist | 1530 Black Lake Blvd Sw Ste A103, Olympia, WA 98502-5612 | 2013-05-02 |
| 1205193786 | Lilly Road Family Dentistry | Dentist | 220 Lilly Rd Ne Ste B, Olympia, WA 98506-6101 | 2012-04-20 |
| 1124307590 | Leah Olson | Dentist | 1800 Cooper Point Rd Sw Ste 23, Olympia, WA 98502-1179 | 2011-08-16 |
| 1861717654 | Oda, LLC | Dentist | 2728 Westmoor Ct Sw Ste C, Olympia, WA 98502-5779 | 2010-04-05 |
| 1396079141 | David Charles Goerig | Dentist | 408 Lilly Rd Ne Ste A, Olympia, WA 98506-6954 | 2009-09-28 |
| 1902056260 | Garret Masaichi Yamaguchi | Dentist | 108 22nd Ave Sw Ste 24, Olympia, WA 98501-2871 | 2008-09-23 |
| Find all providers in OLYMPIA | ||||
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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.