Gerald Allen Welly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00000969 Issued in WA

Practice address

2520 Colby Ave
#107
Everett, WA 98201-2994

Phone

(425) 252-8505

Fax

(425) 258-2544

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033278353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 COLBY AVE",
            "address_2": "#107",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012994",
            "telephone_number": "425-252-8505",
            "fax_number": "425-258-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 COLBY AVE",
            "address_2": "#107",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012994",
            "telephone_number": "425-252-8505",
            "fax_number": "425-258-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLY",
        "first_name": "GERALD",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007474",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lee Wells
• Erin Wells, PSY D
• Sara J Wells, ARNP, PMHNP
• Tetreanna Wells, LMT
• Zykeyla Marie Wells
• Stephen V Welly, DC
• Christina Ann Welsh
• Shai Welsh
• Marti P Welton, LMP
• Victor Welton

• Chiropractor in Everett, WA
• Providers in Everett, WA by specialty
• Chiropractor in Washington

• 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.