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DR. JACK H WEAVER DDS
NPI 1043238389
Dentist - General Practice in Rapid City, SD

Active since July 17, 2006
3712 CANYON LAKE DR, RAPID CITY, SD 57702(605) 342-3939(605) 341-2766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack H Weaver Dds NPPES

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

DR. JACK H WEAVER DDS (NPI 1043238389) is an individual general practice provider in Rapid City, South Dakota, licensed in South Dakota (M366) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043238389
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK H WEAVERCredential: DDS
Location Address3712 CANYON LAKE DRRapid City, SD 57702-3198
Mailing Address4716 Guest RdRapid City, SD 57702-4815 · (605) 484-4484 · Fax (605) 341-2766
Phone(605) 342-3939
Fax(605) 341-2766
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043238389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SD · M366
Definition
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.
3712 CANYON LAKE DR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Northeast Delta Dental.Insurance ›

Other Providers at the Same Location NPPES 5

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

LARRY FROISTAD
Dentist (General Practice)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 342-3939
ELDEN M RICE DDS PC
Clinic/Center (Dental)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 342-3939
MS. M BROOKE ANDERSON SAUNDERS DDS
Dentist
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 342-3939
AREA DENTAL ASSOCIATES PC
Dentist (General Practice)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (604) 342-3939
SAUNDERS & ANDERSON DDS PC
Dental Hygienist
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 342-3939

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 Jack Weaver's NPI number?

The NPI number for Jack Weaver is 1043238389. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jack Weaver located?

Jack Weaver practices at 3712 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 342-3939.

What is Jack Weaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Weaver accept?

Health plans from Northeast Delta Dental list Jack Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Weaver was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.