Organization Active NPI

David a Weaver,DMD,PC

  • Dental Clinic/Center
  • Goodlettsville, TN
National Provider Identifier
1699891663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7247 Issued in TN
Legal business name
DAVID A WEAVER,DMD,PC
Practice address
133 Northcreek Blvd
Goodlettsville, TN 37072-1911
Phone
(615) 859-7117
Fax
(615) 851-3535
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David A Weaver, DMDNPI 1679660526
Title
Owner
Phone
(615) 859-7117

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
Dental Clinic/Center 261QD0000X 7247 TN Primary

Addresses

Primary practice location

133 Northcreek Blvd
Goodlettsville, TN 37072-1911

Mailing address

133 Northcreek Blvd
Goodlettsville, TN 37072-1911
Phone (615) 859-7117

Other names 1

  • rivergate dental care Doing business as

National Provider Directory

National Provider Directory

Locations

133 Northcreek Blvd
Goodlettsvlle, TN 37072
Phone (615) 859-7117

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699891663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721911",
            "telephone_number": "615-859-7117",
            "fax_number": "615-851-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721911",
            "telephone_number": "615-859-7117",
            "fax_number": "615-851-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WEAVER,DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-859-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rivergate dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

  • 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.