Marie T Welton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00008144 Issued in CO

Practice address

6958 Nebraska Ave BLDG 1608
Fort Leonard Wood, MO 65473-1618

Phone

(573) 596-0364

NPI assigned

Feb 7, 2006

Last updated

Feb 26, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1164495636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 NEBRASKA AVE BLDG 1608",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731618",
            "telephone_number": "573-596-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 NEBRASKA AVE BLDG 1608",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731618",
            "telephone_number": "573-596-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTON",
        "first_name": "MARIE",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00008144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21285837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Susan Wax, RN
• Travis Weaver, PHARMD
• Leaann Weddle, LPN
• Brett Weir, DNP
• Barbara Ann Welch, LCSW
• Joni Kay West, PMHNP
• John L Westhoff II, M.D.
• Randall Allen Whitaker, MSW, LCSW, CASAC
• Becky Jo White, LPN
• Barry Dwayne Whiteside, PT

• General Practice Dentistry in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.