Brett Erik Weatherington, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

102234 Issued in CA

Practice address

7224 Mitscher Way
San Diego, CA 92145-0001

Phone

(858) 722-3673

NPI assigned

Jul 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1720697733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17975 SAPONI CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271388",
            "telephone_number": "858-722-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 MITSCHER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921450001",
            "telephone_number": "858-722-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERINGTON",
        "first_name": "BRETT",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-26",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "102234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSCE",
            "identifier": "102234",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bweath@nyu.edu",
            "affiliation": "Y",
            "affiliationName": "New York University",
            "address_1": "1 Chome Misumimachi",
            "city": "Iwakuni",
            "state": "Yamaguchi",
            "country_code": "JP",
            "postal_code": "7400025",
            "country_name": "Japan",
            "address_type": "FGN"
        }
    ],
    "other_names": []
}

• William Reynolds Weare
• Travis B Wease, PSYD
• Laura Weatherbee, LAC
• Allison Weatherford, ATC
• Dane Edward Weatherford, IDC
• Jacob Alan Weatherly, MD
• Jesika Lyn Weathers
• Mikayla Weathers, AMFT
• Reid Guillory Weathersby, IDC
• Benny Lee Weatherspoon III

• Periodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.