Individual provider Active NPI

Michael Peter Welton, DDS

  • Dentist
  • Vacaville, CA
National Provider Identifier
1073561627
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37035 Issued in CA
Practice address
3000 Alamo Dr
Suite 103
Vacaville, CA 95687-6350
Phone
(707) 452-0420
Fax
(707) 452-0683
NPI assigned
May 5, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37035 CA Primary

Addresses

Primary practice location

3000 Alamo Dr
Suite 103
Vacaville, CA 95687-6350

Mailing address

3000 Alamo Dr
Suite 103
Vacaville, CA 95687-6350
Phone (707) 452-0420

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1073561627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR",
            "address_2": "SUITE 103",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876350",
            "telephone_number": "707-452-0420",
            "fax_number": "707-452-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR",
            "address_2": "SUITE 103",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876350",
            "telephone_number": "707-452-0420",
            "fax_number": "707-452-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTON",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.