DR. RUSSELL EVERETTE WEAVER D.D.S.
NPI 1003917204
Dentist - Periodontics in Citrus Heights, CA

Q: What is Russell Weaver's NPI number?

The NPI number for Russell Weaver is 1003917204. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Russell Weaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Russell Weaver was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2006

8035 MADISON AVE, SUITE E-4, CITRUS HEIGHTS, CA 95610(916) 965-1200(916) 965-3524 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Russell Everette Weaver D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL EVERETTE WEAVER D.D.S. (NPI 1003917204) is an individual periodontics provider in Citrus Heights, California, licensed in California (28256) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003917204

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RUSSELL EVERETTE WEAVERCredential: D.D.S.

Location Address8035 MADISON AVE, SUITE E-4Citrus Heights, CA 95610-7949

Mailing Address8035 Madison Ave, Suite E-4Citrus Heights, CA 95610-7949 · (916) 965-1200 · Fax (916) 965-3524

Phone(916) 965-1200

Fax(916) 965-3524

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJune 24, 2015

✔ NPI 1003917204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 28256

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

8035 MADISON AVE, Citrus Heights, CA 95610

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT HAYS D.D.S.

Dentist (General Practice)

8035 MADISON AVE, SUITE D-1
CITRUS HEIGHTS, CA 95610

Sacramento County (916) 961-0163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Weaver's NPI number?

The NPI number for Russell Weaver is 1003917204. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Russell Weaver located?

Russell Weaver practices at 8035 Madison Ave Suite E-4, Citrus Heights, CA 95610. The listed phone number is (916) 965-1200.

What is Russell Weaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Russell Weaver was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.