MARK S WEAVER


Address: 4638 Westgate Blvd, Austin, TX 78745-1461
Phone: 5128922443

MARK S WEAVER (NPI# 1124138755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124138755
Entity Type Individual
Full Name MARK S WEAVER
Credential DDS
Practice Address 4638 Westgate Blvd
Austin
TX 78745-1461
Practice Telephone 5128922443
Practice Fax Number 5128922002
Mailing Telephone 5128922443
Mailing Fax Number 5128922002
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
10751 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX CHIP B10751 01

Other Providers MARK WEAVER

NPI Name Taxonomy Address Enumeration
1033246343 Mark A. Weaver Optometrist 1001 Buchanan Dr Ste 3, Burnet, TX 78611-2329 2007-02-27
1295722080 Mark E Weaver Podiatrist 1645 Colonial Blvd, Fort Myers, FL 33907-1101 2005-10-05
1558926154 Mark Alan Weaver Peer Specialist 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 2019-05-08
1033614854 Mark Kainbridge Weaver Student in an Organized Health Care Education/Training Program 1250 E 66th St, Savannah, GA 31404-5704 2018-03-25
1801274600 Mark Weaver Physician Assistant 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 2015-05-12
1154608180 Mark Edwin Weaver General Practice 158 Wetherby Ln, Westerville, OH 43081-4957 2011-11-04
1194005090 Mark Alexander Weaver Specialist/Technologist 325 Cherry Ave, Mc Kenzie, TN 38201-1769 2011-08-23
1801949045 Mark L Weaver Physical Therapist 317 N. Faler Ave, Pinedale, WY 82941 2007-01-19
1508928680 Mark Shannon Weaver Counselor 2000 Yonkers Rd, Raleigh, NC 27604-2258 2006-12-14
1982796678 Mark T. Weaver Counselor 2285 Benden Dr, Wooster, OH 44691-2568 2006-09-29

Office Location

Street Address 4638 WESTGATE BLVD
City AUSTIN
State TX
Zip Code 78745-1461

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023617511 Samantha Lynne Weston Speech-Language Pathologist 8515 Brodie Lane, Apt 2011, Austin, TX 78745 2020-10-26
1275172686 Nithphaphone Tracy Bounsing Registered Nurse 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 2020-01-02
1225685712 Integrative Medical Group of Texas General Practice 6905 West Gate Blvd. Ste A, Austin, TX 78745 2019-08-20
1962971499 Kimberly Angela Mancini Social Worker 5015 South Ih 35 Frontage Road, Austin, TX 78745 2018-11-14
1093223885 Emma Rose Marek Speech-Language Pathologist 2700 Norfolk Drive, Austin, TX 78745 2018-01-16
1528586690 Ashley Ellison Social Worker 4201 South Congress, Austin, TX 78745 2017-09-08
1134666761 Carey Sebera Counselor 2812 Goldbridge Dr, Austin, TX 78745 2017-01-20
1932644507 Maya Conlon Social Worker 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 2017-01-05
1285189134 512 Physical Therapy and Golf Performance Center Physical Therapist 6800 Westgate Blvd, Suite 117, Austin, TX 78745 2016-08-22
1326401803 Chris Winkley Physical Therapist 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 2016-04-01
Find all providers in zip 78745

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558832972 Belterra Kids Teeth Dentist 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 2018-12-11
1073051413 Bash Braker LLC Dentist 1139 W Braker Ln, Ste 201, Austin, TX 78758 2017-02-06
1336519313 Longhorn Pediatric Dentistry and Orthodontics Dentist 4638 W Gate Blvd, Austin, TX 78745-1461 2015-10-02
1659749810 Specialty Dental Partners of Austin Pllc Dentist 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 2015-09-04
1003202060 Jared Poplin D.m.d., Pllc Dentist 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 2015-04-07
1679964787 Alexander Y Shau Dentist 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 2015-02-10
1972902427 Green Apple Pediatric Dentistry, Pllc Dentist 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 2014-08-21
1902216989 Kyle Raymond Pa Dentist 5656 Bee Caves Rd Ste B104, Austin, TX 78746 2014-04-30
1447595855 Rock That Smile Pediatric Dentistry Pllc Dentist 14005 N. Hwy 183, #800, Austin, TX 78717 2012-12-11
1215280557 North Austin Pediatric Dental, Pllc Dentist 8716 Research Blvd # 125, Austin, TX 78758-6420 2012-10-24
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78745

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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