Mikayla Rose Weaver, PHDHP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH075247 Issued in PA

Practice address

471 Hepburn St
Williamsport, PA 17701-6122

Phone

(570) 567-5400

NPI assigned

Jul 15, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1538050612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MAIN ST",
            "city": "SALLADASBURG",
            "state": "PA",
            "postal_code": "177407409",
            "telephone_number": "814-221-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MIKAYLA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PHDHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH075247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon G Wascher, DC
• Darrin L. Wascher, D.C.
• David Gordon Wascher, DC
• Joy Ann Wassmer, RN
• Heather Way
• Leslie Anne Webb, M.D.
• Jessie Webber, M.S., CCC-SLP
• Douglas Ryan Weber, D.O.
• Leonard Albert Weber Jr., PA-C
• Rebecca Weber, PA-C

• Dental Hygienist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.