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KELLY WEAVER DDS
NPI 1578884235
Dentist in Blackfoot, ID

Active since June 17, 2010
310 W IDAHO ST, BLACKFOOT, ID 83221(208) 785-2255(208) 785-2275 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Weaver Dds NPPES

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

KELLY WEAVER DDS (NPI 1578884235) is an individual dentist in Blackfoot, Idaho, licensed in Idaho (D4298) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1578884235
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKELLY WEAVERCredential: DDS
Location Address310 W IDAHO STBlackfoot, ID 83221-1710
Mailing AddressPo Box 248Blackfoot, ID 83221-0248 · (208) 785-2255 · Fax (208) 785-2275
Phone(208) 785-2255
Fax(208) 785-2275
Sole ProprietorYes
Enumeration DateJune 17, 2010
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1578884235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D4298
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
310 W IDAHO ST, Blackfoot, ID 83221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. RICHARD RUSSELL BURT DDS
Dentist
310 W IDAHO ST
BLACKFOOT, ID 83221
Bingham County (208) 785-2255
BLACKFOOT SMILES, P.A.
Dentist (General Practice)
310 W IDAHO ST
BLACKFOOT, ID 83221
Bingham County (208) 785-2255

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 Kelly Weaver's NPI number?

The NPI number for Kelly Weaver is 1578884235. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Kelly Weaver located?

Kelly Weaver practices at 310 W Idaho St, Blackfoot, ID 83221. The listed phone number is (208) 785-2255.

What is Kelly Weaver's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kelly Weaver accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kelly 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 Kelly Weaver was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.