What is Russell Weaver's NPI number?

Russell Weaver's National Provider Identifier (NPI) is 1003917204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Russell Weaver's specialty?

Russell Weaver is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).

Where is Russell Weaver located?

Russell Weaver's practice location on file with NPPES is 8035 Madison Ave, Citrus Heights, CA 95610-7949.

What is Russell Weaver's phone number?

The practice phone number listed in the NPPES registry for Russell Weaver is (916) 965-1200.

Is Russell Weaver's NPI active?

Yes — Russell Weaver's NPI (1003917204) is active in the NPPES registry as of the last update on 2015-06-24.

IndividualActive

Russell Weaver, D.D.S.

NPI 1003917204 · Periodontics · Citrus Heights, CA

Russell Weaver, D.D.S. is a Periodontics provider in Citrus Heights, CA (NPI 1003917204).

Provider details

NPI number: 1003917204
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 28256 (CA)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 28256 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8035 Madison Ave

Suite E-4

Citrus Heights, CA 95610-7949

Phone: (916) 965-1200

Fax: (916) 965-3524

Street-level locationGet directions

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Mailing address