James R Weaver, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011732A Issued in IN

Practice address

35 S Creasy LN Ste 3
Lafayette, IN 47905-5254

Phone

(765) 446-0042

Fax

(765) 446-0046

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Awl Dentistry PC

  • General Practice Dentistry
  • Lafayette, IN
  • NPI 1437435781
  NPD (past) Authorized official
• Weaver Family Dentisty PA

  • General Practice Dentistry
  • Fargo, ND
  • NPI 1992948590
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1417175647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 BELL CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836861411",
            "telephone_number": "208-284-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S CREASY LN STE 3",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055254",
            "telephone_number": "765-446-0042",
            "fax_number": "765-446-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Watson, MD
• Wea Township Community Fire Department
• Renee L Weathington, NP-C
• Taylor Weaver-Rosamilia, CCC-SLP
• Breana Weaver, RBT
• Webb Healthcare
• Maggin Webb, NP
• Tamara Webber, RPH
• Stanley Weber, MD
• Nathan Webster, DDS

• General Practice Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.