Weimer Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEIMER DENTAL PLLC

Practice address

8336 W Northview St
Boise, ID 83704-7132

Phone

(208) 375-4544

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Travis Jon Weimer, DDSNPI 1962939421

Title

Owner

Phone

(541) 805-0389

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Travis Jon Weimer, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1962939421
  NPD Authorized official
• David William Cutler, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1417996596
  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1659915437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MOUNTAIN VISTA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069168",
            "telephone_number": "541-805-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047132",
            "telephone_number": "208-375-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-805-0389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina C Wei, PH.D.
• Ashley Weidner
• Tess Weidner, CNM
• Andrea R Weigand, PA-C
• Theresa Ann Weiland, DO
• Travis Jon Weimer, DDS
• Margaret A Weinberg, CRNFA
• Mark C Weinrobe, MD
• Patricia Weires, LCSW
• Alexis Weisenburger, PHARMD

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.