Jonathan H Welch, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6289 Issued in NV

Practice address

10420 Decatur Blvd Ste 110
Suite 110
Las Vegas, NV 89141-8718

Phone

(702) 527-4644

NPI assigned

Jun 14, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Green Valley Dental Partners

  • Dental Clinic/Center
  • Henderson, NV
  • NPI 1871222620
  NPD (past) Authorized official
• Gussow Dental Care Prof Corp

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1174398416
  NPD (past) Authorized official

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1174885180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 DECATUR BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418718",
            "telephone_number": "702-527-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 DECATUR BLVD STE 110",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418718",
            "telephone_number": "702-527-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "4130",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Welch
• Ebony Welch
• Fenn Holden Welch, DDS MS
• Hope K Welch
• Jessica Welch, PA
• Karla Welch
• Leneath Welch
• Porcha Welch
• Robert Welch
• Rolanda Welch

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.