Walter A Weaver Jr., DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12253 Issued in MA

Practice address

230 Salem St
Wa Weaver DDS
Swampscott, MA 01907-1306

Phone

(781) 581-1550

Fax

(781) 592-8549

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Swampscott, MA
  • NPI 1083124895
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1760409213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SALEM ST",
            "address_2": "WA WEAVER DDS",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071306",
            "telephone_number": "781-581-1550",
            "fax_number": "781-592-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SALEM ST",
            "address_2": "WA WEAVER DDS",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071306",
            "telephone_number": "781-581-1550",
            "fax_number": "781-592-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "WALTER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "12253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Taylor Wahl, PA-C
• Walgreen Co
• Ariel Wallen, LICSW
• Weaver Orthodontics
• Carlin Weaver
• Sidney Niel Whiting, DDS
• Donna Elayne Wholley, RPH
• Carlyn McGrath Wikar, PA-C
• Olivia A Wilkins
• Roger J Wise, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.