Brian Christopher Weaver, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901018602 Issued in MI

Practice address

627 Office Pkwy
Suite B
Westerville, OH 43082-7988

Phone

(614) 568-0230

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brian.weaver.1@17598.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian C. Weaver, DDS, LLC

  dba Riverstone Oral & Dental Implant Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Westerville, OH
  • NPI 1083907539
  NPD (past) Authorized official
• Carnes, Montgomery, Cook & Henry, Oral & Max Surg, LLC

  dba Northwest Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Worthington, OH
  • NPI 1336166289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1033231238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY",
            "address_2": "SUITE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827988",
            "telephone_number": "614-568-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY",
            "address_2": "SUITE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827988",
            "telephone_number": "614-568-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901018602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WE4219001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Waters
• Kathryn J Watkins Younkin, DDS MS
• Kathryn Anne Watkins, PHARMD
• Caitlin Watson, PA-C
• Emily Watts, MSW, LSW
• David H Weaver, PHD
• Heather Ann Weaver, CNP
• Mark Edwin Weaver, M.D.
• Amanda Antico Webb, QMHS-MA (RBT)
• Diana Webb, LISW

• Oral and Maxillofacial Surgery (Dentist) in Westerville, OH
• Providers in Westerville, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.