JONATHAN FREDERICK WEAVER (NPI# 1891311379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891311379 |
| Entity Type | Individual |
| Full Name | JONATHAN FREDERICK WEAVER |
| Credential | DMD |
| Practice Address |
Headquarters United States Army Dental Health Activity 4323 Hill Street Apo AA 29207-6022 |
| Mailing Address |
302 Meadowcrest Dr Trucksville PA 18708-9481 |
| Practice Telephone | 8037513255 |
| Mailing Telephone | 5705745813 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS042725 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745856 | Jonathan David Weaver | Social Worker | 1 Mustard St, Rochester, NY 14609-6980 | 2020-03-13 |
| 1649521170 | Jonathan Weaver | Counselor | 620 E Plumb Ln Ste 100, Reno, NV 89502-3562 | 2012-09-24 |
| 1285992412 | Jonathan Bernard Weaver | Anesthesiology | 1211 Medical Center Drive, Anesthesiology Department, Nashville, TN 37212 | 2012-04-25 |
| 1780813006 | Jonathan S Weaver | Dentist | 2600 Denali St, Suite 500, Anchorage, AK 99503-2746 | 2009-07-08 |
| 1790989218 | Jonathan P Weaver | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2007-06-11 |
| 1851318331 | Jonathan Douglas Weaver | Internal Medicine | 2121 Wilshire Blvd, #103, Santa Monica, CA 90403 | 2006-07-17 |
| Street Address |
HEADQUARTERS UNITED STATES ARMY DENTAL HEALTH ACTIVITY 4323 HILL STREET |
| City | APO |
| State | AA |
| Zip Code | 29207-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| 1467930180 | Julia Y Lim | Dentist | 618th Dental Co, Usag Humphreys, Carius Dental Clinic, Unit #15660, Bldg #p3020, Apo, AP 96271-5669 | 2018-08-03 |
| Find all providers in APO | ||||
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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.