John K Weaver, DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JOHN K WEAVER, DMD PC

Doing business as

Weaver Orthodontics

Practice address

35 Professional Dr
Brunswick, GA 31520-3773

Phone

(912) 264-6890

Fax

(912) 264-4374

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicenta Reyes

Title

Credentialing Manager

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Weaver Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yanisis Romero, DMD, CAGS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jesup, GA
  • NPI 1932669371
  NPD (past)
• John K Weaver, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brunswick, GA
  • NPI 1952523235
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1477272151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-264-6890",
            "fax_number": "912-264-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-264-6890",
            "fax_number": "912-264-4374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315464005",
            "country_code": "US",
            "telephone_number": "912-427-2001",
            "fax_number": "912-264-4374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN K WEAVER, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weaver Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John F. Ellenberg, M.D., P.C.
• Chadrika L Johnson, OWNER, CENTER DIRECT
• Deborah F Johnson, RN-BSN
• Evelyn Delois Johnson, M.D.
• Jimmy Wallace Johnson Jr.
• Laura Johnson, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.