Active NPI
Thomas Paul Welk, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bismarck, ND
National Provider Identifier
1124548367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2371
- Practice address
- 1165 W Turnpike Ave
Bismarck, ND 58501-8115 - Phone
- (701) 751-1981
- NPI assigned
- Jun 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | RES-30498 | IA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2371 | ND | Primary |
Addresses
Primary practice location
1165 W Turnpike Ave
Bismarck, ND 58501-8115
Mailing address
1165 W Turnpike Ave
Bismarck, ND 58501-8115
Phone (701) 202-0094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459055 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@hollevoetorthodontics.com | Direct |
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 |
|---|---|---|---|
| RES-30498 | IA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 2371 | ND | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Aligner Studio | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Hollevoet Orthodontics | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1165 W Turnpike Ave
Bismarck, ND 58501
Phone (612) 625-6444
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bismarck, ND
- NPI 1396059721
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bismarck, ND
- NPI 1194430751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1124548367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 W TURNPIKE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585018115",
"telephone_number": "701-202-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 W TURNPIKE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585018115",
"telephone_number": "701-751-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELK",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IA",
"license": "RES-30498",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ND",
"license": "2371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459055",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@hollevoetorthodontics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1165 W Turnpike Ave",
"city": "Bismarck",
"state": "ND",
"country_code": "US",
"postal_code": "585018115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.