DR. MICHAEL GREY WEATHERSBY (NPI# 1780746529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780746529 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GREY WEATHERSBY |
| Credential | DDS MDS |
| Practice Address |
2175 Chambliss Ave Nw Ste A Cleveland TN 37311-3842 |
| Practice Telephone | 4234767561 |
| Mailing Telephone | 4234767561 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2009-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8131 | TN | Dental Providers |
| Street Address |
2175 CHAMBLISS AVE NW STE A |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1396229258 | Majd Hasanin | Dentist | 2124 Cornell Rd Fl 3, Cleveland, OH 44106-3804 | 2018-09-17 |
| 1023532702 | Abdulaziz Mohammad | Dentist | 2124 Cornell Road Road, Cleveland, OH 44106-4905 | 2017-08-03 |
| 1821441874 | Jarintorn Kotheeranurak | Dentist | Cwru 2124 Cornell Road, Cleveland, OH 44106 | 2016-07-14 |
| 1821407768 | Prapaporn Shantavasinkul | Dentist | 2223 Murray Hill Rd, Apt#3, Cleveland, OH 44106-2687 | 2014-08-05 |
| 1720243918 | Aspire Orthodontics, PC | Dentist | 2175-a Chambliss Ave, Cleveland, TN 37311 | 2008-07-28 |
| 1275681363 | Kates Orthodontics | Dentist | 26110 Emery Rd, Suite 100, Cleveland, OH 44128-5731 | 2007-01-08 |
| 1689722191 | Andrew B Mcdaniel | Dentist | 4160 Ocoee St N Ste 2, Cleveland, TN 37312-4886 | 2007-01-08 |
| 1992795546 | William G. Reynolds | Dentist | 2175 Chambliss Ave Nw, Cleveland, TN 37311-3842 | 2005-10-25 |
| Find all providers in CLEVELAND | ||||
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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.