David R Weller DDS Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00009898 Issued in WA

Legal business name

DAVID R WELLER DDS MS

Practice address

4606 Bridgeport Way W
University Place, WA 98466

Phone

(253) 565-0330

Fax

(253) 565-0296

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Roberts Weller, DDS MSNPI 1144308313

Title

President

Phone

(253) 565-0330

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Roberts Weller, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • University Place, WA
  • NPI 1144308313
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598839748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-565-0330",
            "fax_number": "253-565-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-565-0330",
            "fax_number": "253-565-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R WELLER DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-565-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Fox Cutler, LMT
• Megan Dale
• Zoey Damm
• Dana Krank & Angelito Mabini Co
• Lea'Anna D Darling
• Emily Davidson
• Allison Davis, LSWAIC
• Colin Davis, DDS
• Michelle Febronia Davis
• Tamra Davis, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in University Place, WA
• Providers in University Place, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.