DR. DAVID ROBERTS WELLER (NPI# 1144308313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144308313 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERTS WELLER |
| Credential | DDS MS |
| Practice Address |
4606 Bridgeport Way W University Place WA 98466 |
| Practice Telephone | 2535650330 |
| Practice Fax Number | 2535650296 |
| Mailing Telephone | 2535650330 |
| Mailing Fax Number | 2535650296 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00009898 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033388723 | David Wayne Weller | Nurse Practitioner | 1673 Columbus Rd, West Sacramento, CA 95691-4902 | 2008-02-27 |
| 1659692309 | David Jack Weller | Pharmacist | 11700 Mukilteo Speedway, Mukilteo, WA 98275-5432 | 2010-06-17 |
| 1255510400 | David M Weller | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-10-24 |
| Street Address |
4606 BRIDGEPORT WAY W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326029091 | Margaret R Wheeler | Physical Therapist | 4606 Bridgeport Way W, Suite C, University Place, WA 98466-4200 | 2005-11-09 |
| 1508179235 | Andrea Nichole Miller | Specialist/Technologist | 4606 Bridgeport Way W, #c, University Place, WA 98466-4200 | 2010-07-22 |
| 1710199211 | Barry A Carlaw Phd Inc | Psychologist | 4606 Bridgeport Way W, University Place, WA 98466-4200 | 2007-05-04 |
| 1760501688 | Barry A Carlaw | Psychologist | 4606 Bridgeport Way W, Suite B, University Place, WA 98466-4200 | 2007-03-29 |
| 1598839748 | David R Weller Dds Ms | Dentist | 4606 Bridgeport Way W, University Place, WA 98466 | 2006-11-20 |
| 1326062191 | Mcrae and Radonich Inc Ps | Physical Therapist | 4606 Bridgeport Way W, Suite C, University Place, WA 98466-4200 | 2006-07-26 |
| 1265451306 | Shawn Timothy Quenga | Physical Therapist | 4606 Bridgeport Way W, Suite C, University Place, WA 98466-4200 | 2006-07-19 |
| 1437130770 | Barbara Ann Radonich | Physical Therapist | 4606 Bridgeport Way W, University Place, WA 98466-4200 | 2005-11-11 |
| 1326029661 | Georgia Ann Mcrae | Physical Therapist | 4606 Bridgeport Way W, Suite C, University Place, WA 98466-4200 | 2005-11-11 |
| 1942281613 | Stephanie A Hanson | Physical Therapist | 4606 Bridgeport Way W, Suite C, University Place, WA 98466-4200 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1598839748 | David R Weller Dds Ms | Dentist | 4606 Bridgeport Way W, University Place, WA 98466 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
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| 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.