Ronald D Weaks DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

9643 Issued in TX

Legal business name

RONALD D WEAKS DDS INC

Practice address

4250 Joe Ramsey Blvd
Greenville, TX 75401

Phone

(903) 455-4161

Fax

(903) 455-7510

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald D Weaks, DDSNPI 1508021957

Title

President Owner

Phone

(903) 455-4161

Specialties & licenses 1

Addresses

Other names 1

• Longbranch Dental Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald David Weaks, D.D.S.

  • Dentist
  • Greenville, TX
  • NPI 1508021957
  NPD (past) Authorized official
• Virginia Hall

  • Dentist
  • Greenville, TX
  • NPI 1255723169
  NPD (past)
• Michael David Weaks, D.DS

  • Dentist
  • Greenville, TX
  • NPI 1982088530
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073679080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 JOE RAMSEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-4161",
            "fax_number": "903-455-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 JOE RAMSEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-4161",
            "fax_number": "903-455-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D WEAKS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "903-455-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longbranch Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Robison
• Zachary Alexander Roehl, CRNA
• Heather Nichole Rogers
• Terri Lynn Rogers
• Rolling Hills Chiropractic PC.
• Mary E Rose Duncan, DDS
• Haley Rouse, FNP-C
• Michael Richard Rozum, MD
• Glenda Arlene Rudy, RN-C,WHNP
• Ashley Rushin, FNP-C

• Dentist in Greenville, TX
• Providers in Greenville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.