Individual provider Active NPI

Maylyn Price Welch, D.M.D.

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1215164249
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4605 Issued in SC
Practice address
1808 Second Baxter Xing Ste 208-G
Fort Mill, SC 29708-6436
Phone
(803) 830-6080
Fax
(803) 830-6025
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Dentistry 1223G0001X 4605 SC Primary

Addresses

Primary practice location

1808 Second Baxter Xing Ste 208-G
Fort Mill, SC 29708-6436

Mailing address

734 Bannerman LN
Fort Mill, SC 29715-7858
Phone (803) 830-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seek Sleep Solutions LLC General Practice CurrentSince Aug 26, 2020 Accepting new patients
Biehl and Farmer Family Dentistry General Practice PastSince Apr 16, 2023 Accepting new patients
Biehl and Welch Cosmetic and Family Dentistry Past Accepting new patients

Locations

1500 Fort Mill Pkwy
Ste 108
Fort Mill, SC 29715
Phone (609) 915-8351

1808 Second Baxter Crossing
Ste 208G
Fort Mill, SC 29708
Phone (803) 830-6080

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1215164249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 BANNERMAN LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157858",
            "telephone_number": "803-830-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SECOND BAXTER XING STE 208-G",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086436",
            "telephone_number": "803-830-6080",
            "fax_number": "803-830-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MAYLYN",
        "middle_name": "PRICE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.