NPIMap

Organization Active NPI

Michael D Weaver DDS PC

  • Dentist
  • Lone Grove, OK
National Provider Identifier
1548427776
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4275 Issued in OK
Legal business name
MICHAEL D WEAVER DDS PC
Practice address
16931 US Hwy 70
Lone Grove, OK 73443-1270
Phone
(580) 657-3117
Fax
(580) 657-8081
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Michael Don Weaver, DDSNPI 1104978428
Title
Pres DDS
Phone
(580) 657-3117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4275 OK Primary

Addresses

Primary practice location

16931 US Hwy 70
Lone Grove, OK 73443-1270

Mailing address

PO Box 1270
Lone Grove, OK 73443-1270

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1548427776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734431270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16931 US HWY 70",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734431270",
            "telephone_number": "580-657-3117",
            "fax_number": "580-657-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D WEAVER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRES DDS",
        "authorized_official_telephone_number": "580-657-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.