Kolin E. Weaver, DDS, Ms, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KOLIN E. WEAVER, DDS, MS, INC.

Practice address

2316 Red Wolf Blvd Ste C
Jonesboro, AR 72401-6360

Phone

(870) 972-5445

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kolin Emrys Weaver, DDSNPI 1942471271

Title

President/ Orthodontist

Phone

(870) 972-5445

Specialties & licenses 1

Addresses

Other names 1

• Weaver Orthodontics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Kolin Emrys Weaver, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jonesboro, AR
  • NPI 1942471271
  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1982229985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 RED WOLF BLVD STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016360",
            "telephone_number": "870-972-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 RED WOLF BLVD STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016360",
            "telephone_number": "870-972-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLIN E. WEAVER, DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KOLIN",
        "authorized_official_middle_name": "EMRYS",
        "authorized_official_title_or_position": "PRESIDENT/ ORTHODONTIST",
        "authorized_official_telephone_number": "870-972-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2316 Red Wolf Blvd Ste C",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weaver Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Koekemoer
• Macie Koelling
• Jonathan Koh
• Savannah Kohler
• James M Kolarik, PHD
• Sarah Ellen Komara, MS, CCC SLP
• Aqsa Komel, MD
• Sara Ann Kopp, CNP
• Brandi G. Koschmann, LCSW
• Martin Kosciuk, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.