Awl Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011732A Issued in IN

Legal business name

AWL DENTISTRY PC

Doing business as

Advantage Dental

Practice address

170 S Creasy LN Ste 1730
Lafayette, IN 47905-0759

Phone

(765) 913-9070

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James R Weaver, DDSNPI 1417175647

Title

President

Phone

(208) 284-0054

Specialties & licenses 1

Addresses

Other names 1

• Advantage Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James R Weaver, D.D.S.

  • General Practice Dentistry
  • Lafayette, IN
  • NPI 1417175647
  NPD (past) Authorized official

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1437435781",
    "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": "170 S CREASY LN STE 1730",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050759",
            "telephone_number": "765-913-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-284-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josie Austin, RD
• Ronaldo Miranda Austria, P.T.
• Lindsay Brooke Auten, CST
• Cynthia Lou Avelino, PT
• Celeste Avila
• Iya Awramtchuk-Klim, MD
• Hajra Awwab, MD
• Azwanina Shahizan Binti Azham Shah
• Uchendu Azodo, M.D.
• Marsha La Baccam, MSW

• 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 Nov 1, 2011; 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.