Active NPI
David Ryan Weldon, D.M.D.
- General Practice Dentistry
- Rome, GA
National Provider Identifier
1114238490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014079
- Practice address
- 1801 J L Todd Dr
Rome, GA 30161-5012 - Phone
- (706) 290-7770
- Fax
- (706) 290-7772
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014079 | GA | Primary |
Addresses
Primary practice location
1801 J L Todd Dr
Rome, GA 30161-5012
Mailing address
1013 N 5TH Ave NE Ste 6
Rome, GA 30165-2664
Phone (706) 232-2082
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 |
|---|---|---|---|
| DN014079 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weldon Dental, P.C. | General Practice | Current | Accepting new patients |
| Rome Dental, P.C. | General Practice | Past | Accepting new patients |
Locations
1013 N 5th Ave NE
Ste 6
Rome, GA 30165
Phone (706) 232-2082
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Rome, GA
- NPI 1689243966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1114238490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 N 5TH AVE NE STE 6",
"city": "ROME",
"state": "GA",
"postal_code": "301652664",
"telephone_number": "706-232-2082",
"fax_number": "706-295-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 J L TODD DR",
"city": "ROME",
"state": "GA",
"postal_code": "301615012",
"telephone_number": "706-290-7770",
"fax_number": "706-290-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "DAVID",
"middle_name": "RYAN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.