Laura Ann Weaver, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18689 Issued in OH

Practice address

1340 Hill Crest Rd
Cincinnati, OH 45224-3226

Phone

(513) 681-8825

Fax

(937) 392-4339

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Louis Jerry Mayo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1467402453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HILL CREST RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243226",
            "telephone_number": "513-681-8825",
            "fax_number": "937-392-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HILL CREST RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243226",
            "telephone_number": "513-681-8825",
            "fax_number": "937-392-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-8689",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "MAYO",
            "middle_name": "JERRY",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanda Renee Weathington
• Dessalines Weaver Jr.
• Kathryn Weaver, M.D.
• Kelly Jean Weaver, PHARMD
• Lamar Cory Weaver, COTA
• Louise M Weaver, LISW
• Melayah Weaver
• Michael Zoesch Weaver, CPRS
• Nicholas Robert Weaver
• Porscha Denise Weaver

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.