Zane Michael Weaver, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6046 Issued in OK

Practice address

16931 U.S. Highway 70
Lone Grove, OK 73443

Phone

(580) 657-3117

Fax

(580) 657-8081

NPI assigned

Jul 9, 2009

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Grove Dentistry & Braces

  • Dental Clinic/Center
  • Lone Grove, OK
  • NPI 1063051795
  NPD (past)
• Michael D Weaver DDS PC

  • Dentist
  • Lone Grove, OK
  • NPI 1548427776
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1407085624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 CHARLESTON DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016082",
            "telephone_number": "580-657-3117",
            "fax_number": "590-657-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16931 U.S. HIGHWAY 70",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "73443",
            "telephone_number": "580-657-3117",
            "fax_number": "580-657-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ZANE",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn J Rainwater
• Leah D'Ann Rother, R.PH.
• Soul Purpose Dba Lone Grove Chiropractic Clinic
• Lana Tubbs
• Michael Don Weaver, DDS
• Vanessa Ann Withrow

• Dentist in Lone Grove, OK
• Providers in Lone Grove, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.