Daniel Allison Weaver, D.D.S.,M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10459 Issued in TX

Practice address

1520 E Starr Ave
Nacogdoches, TX 75961-4325

Phone

(936) 564-9320

Fax

(936) 564-6779

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205949294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E STARR AVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614325",
            "telephone_number": "936-564-9320",
            "fax_number": "936-564-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E STARR AVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614325",
            "telephone_number": "936-564-9320",
            "fax_number": "936-564-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DANIEL",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Ligon Warfield, APRN
• Warthan Dermatology Center
• Warthan Dermatology Nacogdoches PLLC
• T Lynn Warthan, MD
• Melinda Watts, ATC
• Deana Marie Weaver
• Christy Michelle Webb, LMSW
• Andrea Sue Wenner, DO
• Melinda E. Wenner, DO
• Janet Westbrook, OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.