Organization Active NPI

Dr. John K. Weaver DMD, PLLC

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1508398249
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9678 Issued in KY
Legal business name
DR. JOHN K. WEAVER DMD, PLLC
Practice address
540 E Main St
Lexington, KY 40508-2328
Phone
(859) 252-0314
Fax
(859) 252-0734
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. John K Weaver, DMD, PLLC
Title
Dentist
Phone
(859) 252-0314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9678 KY Primary

Addresses

Primary practice location

540 E Main St
Lexington, KY 40508-2328

Mailing address

540 E Main St
Lexington, KY 40508-2328
Phone (859) 252-0314

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1508398249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082328",
            "telephone_number": "859-252-0314",
            "fax_number": "859-252-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082328",
            "telephone_number": "859-252-0314",
            "fax_number": "859-252-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN K. WEAVER DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-252-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.