Individual provider Active NPI

Jeffry Chad Welty, D.C.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1003971086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8193 Issued in TX
Practice address
7304 W 34TH Ave Unit 2
Amarillo, TX 79121-1400
Phone
(806) 463-3400
Fax
(806) 463-3402
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8193 TX Primary

Addresses

Primary practice location

7304 W 34TH Ave Unit 2
Amarillo, TX 79121-1400

Mailing address

7304 W 34TH Ave Unit 2
Amarillo, TX 79121-1400
Phone (806) 463-3400

Other identifiers 2

IdentifierTypeStateIssuer
609191OtherTXBLUE CROSS
0078255OtherTXBLUE LINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8193TXMDAddiction (Substance Use Disorder) Counselor
DC8193TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003971086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 W 34TH AVE UNIT 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211400",
            "telephone_number": "806-463-3400",
            "fax_number": "806-463-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 W 34TH AVE UNIT 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211400",
            "telephone_number": "806-463-3400",
            "fax_number": "806-463-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "JEFFRY",
        "middle_name": "CHAD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "609191",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "0078255",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.