Marisa J. Welburn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019147 Issued in MI

Practice address

717 S. Health Pkwy
Three Rivers, MI 49093-9362

Phone

(269) 279-7876

Fax

(269) 279-5823

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Malinoski & Associates DDS PC

  • Dentist
  • Three Rivers, MI
  • NPI 1164441366
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215076930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S. HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939362",
            "telephone_number": "269-279-7876",
            "fax_number": "269-279-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S. HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939362",
            "telephone_number": "269-279-7876",
            "fax_number": "269-279-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBURN",
        "first_name": "MARISA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy D Vorgias, O.D.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3791)
• Walgreen Co (Walgreens #07934)
• Abagael Rae Walters
• Mary Ann Geiser Weber, LMSW
• Taylor Mae Wesolek
• Karen Wessendorf
• Taylor Anne Wexall, OTR/L
• Kenneth Carl Wiencek, D.O.
• Carmen Yanira Wilson

• General Practice Dentistry in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.