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Deactivated NPI 1366524811 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory Lee Weathers , DDS

Dentist - General Practice • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Weathers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2006
NPI Deactivation Date August 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Weathers, DDS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 13 years, Dr. Weathers provided care at the practice location at 7760 W DEVON AVE until profile deactivation on 2019-08-19.

Practice Location & Contact Primary Location

Practice Address

7760 W Devon Ave

Chicago, IL 606311551

Telephone 7737752210
Fax 7737752001
Associated Practice Facility / Clinic
🏢 Gregory L. Weathers, Dds, Pc Facility NPI 1922270008

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1306690904
Dr. Rose Elapunkal , DMD

Dentist - General Practice

NPI 1740775329

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2019

Record deactivated on August 19, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7760 W DEVON AVE, CHICAGO, IL 606311551 (Tel: 7737752210)

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Updated Business Mailing Address July 08, 2007

Registered at 7760 W DEVON AVE, CHICAGO, IL 606311551 (Tel: 7737752210)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY WEATHERS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366524811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: July 08, 2007
Deactivation Date: August 19, 2019

Mailing Address

7760 W Devon Ave

Chicago, IL 606311551

Phone: 7737752210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.