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Active NPI 1508933946 Individual Practitioner Male Practitioner

Dr. John S Weaver , DDS

Dentist - General Practice • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Weaver, DDS is a registered healthcare professional specializing in Dentist - General Practice in Olympia, WA. Practice services are available at 3641 ENSIGN RD NE STE 6A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3641 Ensign Rd Ne Ste 6a

Olympia, WA 985065046

Telephone 3609156321
Fax 3604891748

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Olympia, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00005111

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5550603 (WA)
Commercial Insurance / Payer ID L & I Provider Number
0035126 (WA)
Commercial Insurance / Payer ID United Concordia Provider
000843827 (WA)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2015

Registered at 3641 ENSIGN RD NE STE 6A, OLYMPIA, WA 985065046 (Tel: 3609156321)

📍
Updated Business Mailing Address August 31, 2015

Registered at 3641 ENSIGN RD NE STE 6A, OLYMPIA, WA 985065046 (Tel: 3609156321)

👤
Provider Name / Credentials Updated August 31, 2015

Recorded as JOHN WEAVER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Dentist (License #DE00005111 in WA)

🟢
Initial NPI Registration & Enumeration November 29, 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: 1508933946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: August 31, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3641 Ensign Rd Ne Ste 6a

Olympia, WA 985065046

Phone: 3609156321

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.