DR. DANTEL WEAVER DDS
NPI 1629451471
Dentist - General Practice in Spring Park, MN

Active since June 29, 2015PECOS Enrolled
4100 SHORELINE DR, SPRING PARK, MN 55384(952) 471-0900 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dantel Weaver Dds NPPES

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

DR. DANTEL WEAVER DDS (NPI 1629451471) is an individual general practice provider in Spring Park, Minnesota, licensed in Minnesota (D13769) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629451471
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANTEL WEAVERCredential: DDS
Location Address4100 SHORELINE DRSpring Park, MN 55384-4508
Mailing Address4100 Shoreline DrSpring Park, MN 55384-4508
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateDecember 12, 2016
NPI 1629451471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MN · D13769 Licensed in TX · 32282
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.

4100 SHORELINE DR, Spring Park, MN 55384

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dantel Weaver Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55384 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist
4100 SHORELINE DR, SUITE 4
SPRING PARK, MN 55384

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 Dantel Weaver's NPI number?

The NPI number for Dantel Weaver is 1629451471. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Dantel Weaver located?

Dantel Weaver practices at 4100 Shoreline Dr, Spring Park, MN 55384. The listed phone number is (952) 471-0900.

What is Dantel Weaver's specialty?

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

Is Dantel Weaver enrolled in Medicare?

Yes. Dantel Weaver is registered in the Medicare PECOS enrollment system.

What insurance does Dantel Weaver accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Dantel 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 Dantel Weaver was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.