Active NPI
Leonard L Weldon, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Keene, NH
National Provider Identifier
1174569099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3047
- Practice address
- 272 Main St
Keene, NH 03431-4144 - Phone
- (603) 357-3709
- Fax
- (603) 352-5722
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3047 | NH | Primary |
Addresses
Primary practice location
272 Main St
Keene, NH 03431-4144
Mailing address
250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7035
Other practice location 1
250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7035
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006186 | Medicaid | VT | |
| 30011490 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lweldon@crhc.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current | Accepting new patients |
Locations
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Keene, NH
- NPI 1417328162
-
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1174569099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012598",
"telephone_number": "603-227-7035",
"fax_number": "603-227-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 MAIN ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034314144",
"telephone_number": "603-357-3709",
"fax_number": "603-352-5722"
}
],
"practiceLocations": [
{
"address_1": "250 Pleasant St",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033012598",
"country_code": "US",
"telephone_number": "603-227-7035",
"fax_number": "603-227-7562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELDON",
"first_name": "LEONARD",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NH",
"license": "3047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006186",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011490",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lweldon@crhc.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Concord Hospital Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "250 Pleasant St",
"city": "Concord",
"state": "NH",
"country_code": "US",
"postal_code": "033012598",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.