Weedman Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEEDMAN DENTAL PLLC

Practice address

710 N Beaver St BLDG 5
Flagstaff, AZ 86001-3146

Phone

(928) 774-4726

Fax

(833) 895-1327

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mikaela Lynn Weedman, DMDNPI 1669101051

Title

Owner Dentist

Phone

(602) 680-0322

Specialties & licenses 1

Addresses

Other names 1

• Six Summits Dentistry Flagstaff 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.

• Mikaela Weedman, DMD

  • General Practice Dentistry
  • Flagstaff, AZ
  • NPI 1669101051
  NPD (past) Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1275345035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9959 BLACKHORSE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049781",
            "telephone_number": "602-680-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 5",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013146",
            "telephone_number": "928-774-4726",
            "fax_number": "833-895-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEDMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "WEEDMAN",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "602-680-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Six Summits Dentistry Flagstaff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madelynn Rae Weathers
• Brian Scott Weathersby, D.C.
• John Patrick Webb, PHARMD
• Judy Weber, RN
• Jasmin Webster
• Mikaela Weedman, DMD
• Becky Yvonne Weidinger, L.M.
• Jordyn Rae Weidle, OTR/L
• Lauren Marie Weinand, MD
• Lani Kai Weis, LMT

• Dental Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.