Active NPI
Denese Gail Welch, RDH, RDHAP
- Dental Hygienist
- Mount Shasta, CA
National Provider Identifier
1104982255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP120, DH6470
- Practice address
- 856 Siskiyou Lake Blvd
Mount Shasta, CA 96067-9490 - Phone
- (530) 926-6784
- Fax
- (530) 926-6784
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HAP120, DH6470 | CA | Primary |
Addresses
Primary practice location
856 Siskiyou Lake Blvd
Mount Shasta, CA 96067-9490
Mailing address
856 Siskiyou Lake Blvd
Mount Shasta, CA 96067-9490
Phone (530) 926-6784
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 |
|---|---|---|---|
| HAP120, DH6470 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104982255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 SISKIYOU LAKE BLVD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679490",
"telephone_number": "530-926-6784",
"fax_number": "530-926-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 SISKIYOU LAKE BLVD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679490",
"telephone_number": "530-926-6784",
"fax_number": "530-926-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "DENESE",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "RDH, RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP120, DH6470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
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.