Organization 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
National Provider Identifier
1083048011
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Smiling Kidds Dentistry Other name
  • Weaver & Stratton Pediatric Dentistry and Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.