Jared Maughan Weaver, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7022422-9922 Issued in UT

Practice address

2011 S 1300 E
SLC, UT 84105-3613

Phone

(801) 484-0792

Fax

(801) 953-0638

NPI assigned

Jul 11, 2008

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

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.

• Apex Family & Cosmetic Dentistry

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1891025219
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851555650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053613",
            "telephone_number": "801-484-0792",
            "fax_number": "801-953-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053613",
            "telephone_number": "801-484-0792",
            "fax_number": "801-953-0638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 W 9000 S",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840889001",
            "country_code": "US",
            "telephone_number": "801-677-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JARED",
        "middle_name": "MAUGHAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "7022422-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Walton, SLP
• Heather Lynn Walton, PA
• Roberta Y Wang, MD
• Michael Shawn Ward, APRN
• Wasatch Neurosurgery & Spine
• Jessica Weaver
• Kelli Dru Webster, NP-C
• Michelle Coles Webster, SP
• Dean Weedon
• Laurie A Weeks, NNP

• Dentist in SLC, UT
• Providers in SLC, UT by specialty
• Dentist in Utah

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