Active NPI
William Welch
- Dentist
- North Fort Myers, FL
National Provider Identifier
1114586005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24260
- Practice address
- 4099 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4294 - Phone
- (239) 204-5303
- NPI assigned
- Jun 13, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN24260 | FL | Primary |
Addresses
Primary practice location
4099 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4294
Mailing address
4099 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4294
Phone (239) 204-5303
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 |
|---|---|---|---|
| DN24260 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, P.a. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
dba Dental Care of North Fort Myers
- General Practice Dentistry
- North Fort Myers, FL
- NPI 1538711387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1114586005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4099 HANCOCK BRIDGE PKWY",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339034294",
"telephone_number": "239-204-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4099 HANCOCK BRIDGE PKWY",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339034294",
"telephone_number": "239-204-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.