Kevin John Welch, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12011453A Issued in IN

Practice address

6919 E 10TH St
A -1
Indianapolis, IN 46219-4893

Phone

(317) 358-8885

Fax

(317) 358-8886

NPI assigned

Sep 14, 2006

Last updated

May 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kevin J. Welch DDS Inc

  dba Tenth Street Dental Care

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1811243454
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1205931375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "A -1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194893",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "A -1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194893",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42017",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011453A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201033180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Shivaun Welch, MD
• Caleb T Welch
• Cheongae Stella Welch, NP
• Guenevere Welch
• Julie L Welch, M.D.
• Laura Jean Welch, LMHC
• Shawntell Welch
• Tequa Welch, RBT
• Travis Ray Welch, PA
• Amy Elizabeth Welcher, MFT

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.