Active NPI
Gerald K. Weaver, D.M.D. and Michael Stratton, D.M.D., Pediatric Denti
Doing business as Weaver and Stratton Pediatric Dentistry & Orthodontics
- Pediatric Dentistry
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- GERALD K. WEAVER, D.M.D. AND MICHAEL STRATTON, D.M.D., PEDIATRIC DENTI
- Doing business as
- Weaver and Stratton Pediatric Dentistry & Orthodontics
- Practice address
- 1584 Kingsley Ave Ste B
Orange Park, FL 32073-4502 - Phone
- (904) 264-5437
- Fax
- (904) 485-8417
- NPI assigned
- Aug 27, 2013
- Last updated
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Baucom
- Title
- Insurance Manager
- Phone
- (904) 264-5437
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
1584 Kingsley Ave Ste B
Orange Park, FL 32073-4502
Mailing address
3030 Hartley Rd Ste 310
Jacksonville, FL 32257-8213
Phone (904) 264-5437
Other practice location 1
112 Bartram Oaks Walk Ste 203
St Johns, FL 32259-3269
Phone (904) 264-5437
Other practice location 2
12740 Atlantic Blvd Ste 12
Jacksonville, FL 32225-3199
Phone (904) 264-5437
Other names 3
- Weaver and Stratton Pediatric Dentistry & Orthodontics
- Smiling Kidds Dentistry
- Weaver & Stratton Pediatric Dentistry and Orthodontics
National Provider Directory
National Provider DirectoryLocations
12740 Atlantic Blvd
Ste 12
Jacksonville, FL 32225
Phone (904) 264-5437
3030 Hartley Rd
Ste 310
Jacksonville, FL 32257
1584 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 264-5437
1584 Kingsley Ave
Ste B
Orange Park, FL 32073
Phone (904) 264-5437
112 Bartram Oaks Walk
Ste 203
St Johns, FL 32259
Phone (904) 264-5437
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1437615721
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1083136295
-
- Dentist
- Orange Park, FL
- NPI 1255695318
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1205269396
-
- Pediatric Dentistry
- Jacksonville, FL
- NPI 1750588182
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1346338076
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1700974433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1083048011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 HARTLEY RD STE 310",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578213",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 KINGSLEY AVE STE B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734502",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417"
}
],
"practiceLocations": [
{
"address_1": "112 Bartram Oaks Walk Ste 203",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322593269",
"country_code": "US",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12740 Atlantic Blvd Ste 12",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322253199",
"country_code": "US",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GERALD K. WEAVER, D.M.D. AND MICHAEL STRATTON, D.M.D., PEDIATRIC DENTI",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "BAUCOM",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "904-264-5437"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Weaver and Stratton Pediatric Dentistry & Orthodontics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Weaver and Stratton Pediatric Dentistry & Orthodontics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Smiling Kidds Dentistry",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Weaver & Stratton Pediatric Dentistry and Orthodontics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.