Wrex Alger Weaver I I I, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BW3123952 Issued in MI

Practice address

2740 Flushing Rd
Flint, MI 48504-4534

Phone

(810) 767-2945

Fax

(810) 767-3032

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Weaver Family Dentistry

  • General Practice Dentistry
  • Flint, MI
  • NPI 1134694748
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1679620355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WOODLAWN PARK DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032767",
            "telephone_number": "810-767-2945",
            "fax_number": "810-767-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044534",
            "telephone_number": "810-767-2945",
            "fax_number": "810-767-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER I I I",
        "first_name": "WREX",
        "middle_name": "ALGER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "BW3123952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851581",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• We Are Many, PLLC
• Erin Alexena Weatherdon, LLBSW
• Eric Weathersby
• Tanzeneka Weatherspoon
• Weaver Family Dentistry
• Carla Denise Webb, LBSW
• Jennifer Courtney Gail Webb, RN
• Kesha Nicole Webb
• Stefan Webb
• Timothy Webb

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.