Active NPI
Jeffry Chad Welty, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1003971086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC8193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609191 | Other | TX | BLUE CROSS |
| 0078255 | Other | TX | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8193 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| DC8193 | TX | MD | Chiropractor |
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.