Active NPI
Cole A. Weaver, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cheyenne, WY
National Provider Identifier
1932448602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1369
- Practice address
- 6900 Yellowtail Rd
Cheyenne, WY 82009-6102 - Phone
- (307) 632-2480
- NPI assigned
- Jan 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 30368 | IA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1369 | WY | Primary |
Addresses
Primary practice location
6900 Yellowtail Rd
Cheyenne, WY 82009-6102
Mailing address
6900 Yellowtail Rd
Cheyenne, WY 82009-6102
Phone (307) 632-2480
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30368 | IA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1932448602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 YELLOWTAIL RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820096102",
"telephone_number": "307-632-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 YELLOWTAIL RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820096102",
"telephone_number": "307-632-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "COLE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-31",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "30368",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WY",
"license": "1369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.