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MR. DANE EDWARD WEATHERFORD IDC
NPI 1053686824
Military Health Care Provider in San Diego, CA

Active since March 13, 2012
10209 HOOPER ST, SAN DIEGO, CA 92124(860) 501-0511 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dane Edward Weatherford Idc NPPES

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

MR. DANE EDWARD WEATHERFORD IDC (NPI 1053686824) is an individual military health care provider provider in San Diego, California and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1053686824
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameMR. DANE EDWARD WEATHERFORDCredential: IDC
Location Address10209 HOOPER STSan Diego, CA 92124-3509
Mailing Address10209 Hooper StSan Diego, CA 92124-3509 · (860) 501-0511
Phone(860) 501-0511
Sole ProprietorYes
Enumeration DateMarch 13, 2012
✔ NPI 1053686824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
10209 HOOPER ST, San Diego, CA 92124
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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 Dane Weatherford's NPI number?

The NPI number for Dane Weatherford is 1053686824. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Dane Weatherford located?

Dane Weatherford practices at 10209 Hooper St, San Diego, CA 92124. The listed phone number is (860) 501-0511.

What is Dane Weatherford's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Dane Weatherford was last updated on March 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.