Richard E Weaver

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12088 Issued in TX

Legal business name

RICHARD E WEAVER

Practice address

3590 Blackmon LN
#1
Beaumont, TX 77706-7956

Phone

(409) 898-8602

Fax

(409) 898-8618

NPI assigned

May 26, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Deanne Davis

Title

Finance Manager

Phone

(409) 898-8602

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Brian Eric Jaynes, DDS

  • Dentist
  • Beaumont, TX
  • NPI 1306078845
  NPD (past)
• Brook Rachelle Mahan, D.D.S.

  • Dentist
  • Beaumont, TX
  • NPI 1396933669
  NPD (past)
• Richard Emil Weaver, DDS

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1912919846
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1972896751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BLACKMON LN",
            "address_2": "#1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067956",
            "telephone_number": "409-898-8602",
            "fax_number": "409-898-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BLACKMON LN",
            "address_2": "#1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067956",
            "telephone_number": "409-898-8602",
            "fax_number": "409-898-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E WEAVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "409-898-8602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bryan Rhodes, O.D.
• Timothy Rhodes, R.PH.
• Desiree Rice, MED, LPC, LCDC
• Shawn Rice, CPED, CFOM, COA
• Riceland Home Health, LLC
• Richard L Shorkey Education & Rehabilitation Center
• Belinda K Richard
• Falon Richard, APRN-CNP
• Lauren Anne Richard
• Megan Richard

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.