Roxanne Weaver, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6515 Issued in AL

Practice address

716 32ND St S
Birmingham, AL 35233-3500

Phone

(205) 326-8060

NPI assigned

Jun 15, 2018

Sex

Female

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

Locations

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.

• Childersburg Family Dental

  • Dental Clinic/Center
  • Childersburg, AL
  • NPI 1467171249
  NPD Authorized official
• Alabama Dental Professionals, P.C.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1962858969
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1922592781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 30TH ST S APT E2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051143",
            "telephone_number": "256-694-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 32ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333500",
            "telephone_number": "205-326-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith W Weaver, MD
• Lucinda Jean Weaver, MD
• Margaret Gay Weaver, CRNP
• Marilyn Ashley Weaver, BSN, RN
• Phillip Russ Weaver, CRNP PNP-AC
• Samantha Pekera Weaver, MSN, PNP-AC
• Alecia Webb Cleveland, MS, CCC-A
• Adam Webb, MD
• Alicia Catherine Webb, MD
• Ashley Grace Webb

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.