Brian C. Weaver, DDS, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

30022509 Issued in OH

Legal business name

BRIAN C. WEAVER, DDS, LLC

Doing business as

Riverstone Oral & Dental Implant Surgery

Practice address

627 Office Pkwy
Suite B
Westerville, OH 43082-7988

Phone

(614) 568-0230

NPI assigned

May 17, 2011

Last updated

Aug 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Christopher Weaver, DDSNPI 1033231238

Title

Owner

Phone

(614) 568-0230

Specialties & licenses 1

Addresses

Other names 1

• Riverstone Oral & Dental Implant Surgery Doing business as

Locations

Practitioners 1

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.

• Brian Christopher Weaver, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Westerville, OH
  • NPI 1033231238
  NPD (past) Authorized official

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313884800000",
    "number": "1083907539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 BRISTOL PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178359"
        },
        {
            "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": {
        "organization_name": "BRIAN C. WEAVER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-08-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-568-0230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30022509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverstone Oral & Dental Implant Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery Clinic/Center in Westerville, OH
• Providers in Westerville, OH by specialty
• Oral and Maxillofacial Surgery Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.