NPIMap

Organization Active NPI

Welstead & Rosinski LLC Dba the Leesburg Dentists

  • Dentist
  • Leesburg, VA
National Provider Identifier
1215028303
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
VA0401006767 Issued in VA
Legal business name
WELSTEAD & ROSINSKI LLC DBA THE LEESBURG DENTISTS
Practice address
706 S. King Street
Suite 5
Leesburg, VA 20175
Phone
(703) 771-8500
Fax
(703) 771-9541
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Llewellyn Welsread, DDS
Title
Owner
Phone
(703) 771-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X VA0401006767 VA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X VA0401006762 VA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X VA0401008876 VA

Addresses

Primary practice location

706 S. King Street
Suite 5
Leesburg, VA 20175

Mailing address

706 S. King Street
Suite 5
Leesburg, VA 20175
Phone (703) 771-8500

Other identifiers 2

IdentifierTypeStateIssuer
078792OtherVABCBS INS PROVIDER
541465992OtherVADELTA INS PROVIDER

Other names 1

  • Fuller & Spencer Fuller PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Fuller Spencer Fuller PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 S King St
Ste 5
Leesburg, VA 20175
Phone (703) 771-8500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1215028303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S. KING STREET",
            "address_2": "SUITE 5",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-771-8500",
            "fax_number": "703-771-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S. KING STREET",
            "address_2": "SUITE 5",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-771-8500",
            "fax_number": "703-771-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELSTEAD & ROSINSKI LLC DBA THE LEESBURG DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "WELSREAD",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-771-8500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "VA0401006767",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "VA0401006762",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "VA0401008876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS PROVIDER",
            "identifier": "078792",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA INS PROVIDER",
            "identifier": "541465992",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller & Spencer Fuller PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.