Individual provider Active NPI

Gary Dawayne Weeks, D.D.S.

  • General Practice Dentistry
  • Lake Jackson, TX
National Provider Identifier
1538164967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10182 Issued in TX
Practice address
103 N Dixie Dr
Lake Jackson, TX 77566-5940
Phone
(979) 297-6438
Fax
(979) 297-4644
NPI assigned
Jun 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10182 TX Primary

Addresses

Primary practice location

103 N Dixie Dr
Lake Jackson, TX 77566-5940

Mailing address

103 N Dixie Dr
Lake Jackson, TX 77566-5940
Phone (979) 297-6438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10182TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Overholser DDS Past Accepting new patients
Lake Jackson Family Dentistry PLLC PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538164967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N DIXIE DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665940",
            "telephone_number": "979-297-6438",
            "fax_number": "979-297-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N DIXIE DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665940",
            "telephone_number": "979-297-6438",
            "fax_number": "979-297-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "GARY",
        "middle_name": "DAWAYNE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.