Organization Active NPI

Felicia M Weatherall, DDS, PA

  • Dentist
  • Cypress, TX
National Provider Identifier
1942543236
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18350 Issued in TX
Legal business name
FELICIA M WEATHERALL, DDS, PA
Practice address
14315 Cypress Rosehill Rd
Suite 150
Cypress, TX 77429-1013
Phone
(281) 373-4533
Fax
(281) 256-1144
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Mrs. Felicia Marie Weatherall, DDSNPI 1316960313
Title
Dentist
Phone
(281) 373-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18350 TX Primary

Addresses

Primary practice location

14315 Cypress Rosehill Rd
Suite 150
Cypress, TX 77429-1013

Mailing address

14315 Cypress Rosehill Rd
Suite 150
Cypress, TX 77429-1013
Phone (281) 373-4533

Other identifiers 1

IdentifierTypeStateIssuer
180345401MedicaidTX

National Provider Directory

National Provider Directory

Locations

14315 Cypress Rosehill Rd
Ste 150
Cypress, TX 77429
Phone (281) 373-4533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1942543236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 CYPRESS ROSEHILL RD",
            "address_2": "SUITE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291013",
            "telephone_number": "281-373-4533",
            "fax_number": "281-256-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 CYPRESS ROSEHILL RD",
            "address_2": "SUITE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291013",
            "telephone_number": "281-373-4533",
            "fax_number": "281-256-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA M WEATHERALL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "WEATHERALL",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-373-4533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180345401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.