John T Weaver DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

10938 Issued in GA

Legal business name

JOHN T WEAVER DMD PC

Practice address

2797 Campbellton Rd SW
Suite A4
Atlanta, GA 30311-4455

Phone

(404) 346-1120

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 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

John Weaver, D.M.D.NPI 1669518577

Title

Pres.

Phone

(404) 346-1120

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• John Weaver

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1669518577
  NPD (past) Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1164859344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE A4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE A4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455",
            "telephone_number": "404-346-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T WEAVER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "404-346-1120",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000445871B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D. Welch
• John David Mullins, MD, PC
• John E Hall, Jr., D.D.S., P.C.
• John G. Keating MD, PC (The Keating Group)
• John Schellman Services, Inc. (NuEar)
• John T. Horney M.D., P.C.
• Amadou John
• Carol John, MD
• Christina John, MS
• Danny L John

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.