Maranatha Weir Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11178 Issued in MD

Legal business name

MARANATHA WEIR GROUP

Practice address

5711 Sarvis Ave Ste 502
Riverdale, MD 20737-1366

Phone

(301) 927-1453

NPI assigned

Feb 24, 2011

Last updated

Mar 21, 2013By 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. Yvette T.M Weir-Gladstone, DDS

Title

Owner

Phone

(301) 927-1453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1093012205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 502",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371366",
            "telephone_number": "301-927-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 502",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371366",
            "telephone_number": "301-927-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA WEIR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "WEIR-GLADSTONE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "T.M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-927-1453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Clarisse Magnigham Tse
• Joan Maher, CNS,LDN
• Maicare Consulting, LLC (National Occupational Integrative Readiness & Rehabilitation Center)
• Tanveer A. Malik, MD
• Maranatha Robertson Dental
• Magna Marcelin
• Cami Cyan Marshall, DPT, PT, ATC
• Ciro Manuel Martinez, D.C.
• Diana Martinez, FNP
• Gisela Martinez, LCSW-C

• General Practice Dentistry in Riverdale, MD
• Providers in Riverdale, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.