Beth R Welter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0005616-015 Issued in WI

Practice address

114 E Blackhawk Ave
Prairie Du Chien, WI 53821-1529

Phone

(608) 326-7445

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Welter Family Dentistry, Inc.

  • Dentist
  • Prairie Du Chien, WI
  • NPI 1750498481
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104934827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211529",
            "telephone_number": "608-326-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211529",
            "telephone_number": "608-326-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTER",
        "first_name": "BETH",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "0005616-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Agnes Wall, RN
• Crystal G Wallin, RN
• Weber Chiropractic Clinic SC
• Alan John Weber, D.C.
• Welter Family Dentistry, Inc.
• Brandon Douglas Westholm
• John J. Weyrough, M.S.S.W, L.C.S.W
• Thomas J Whetston, PA
• Andrew Peter Wier, PA-C, LAT
• Tiera M Wiest, PHARM.D

• Dentist in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Dentist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.