Active NPI
Jun Eon Weaver, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1710402235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60708773
- Practice address
- 700 140TH Ave SE
Bellevue, WA 98005-3726 - Phone
- (206) 718-5842
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60708773 | WA | Primary |
Addresses
Primary practice location
700 140TH Ave SE
Bellevue, WA 98005-3726
Mailing address
700 140TH Ave SE
Bellevue, WA 98005-3726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60708773 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1710402235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 140TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 140TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053726",
"telephone_number": "206-718-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JUN EON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60708773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.