Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124138755 Individual Practitioner Male Practitioner

Dr. Mark S Weaver , DDS

Dentist - Pediatric Dentistry • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Weaver, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Austin, TX. Practice services are available at 4638 WESTGATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4638 Westgate Blvd

Austin, TX 787451461

Telephone 5128922443
Fax 5128922002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Austin, TX (1046 Statewide)

Telehealth Adoption Rate
0.0% 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 10751

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Chip
B10751 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4638 WESTGATE BLVD, AUSTIN, TX 787451461 (Tel: 5128922443)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4638 WESTGATE BLVD, AUSTIN, TX 787451461 (Tel: 5128922443)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WEAVER, DDS

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

Dentist (License #10751 in TX)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1124138755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4638 Westgate Blvd

Austin, TX 787451461

Phone: 5128922443

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.