Individual provider Active NPI

Scott B Welling, DDS

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1265093009
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60954420 Issued in WA
Practice address
18825 Caldart Ave NE Ste B
Poulsbo, WA 98370-8714
Phone
(614) 623-3889
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60954420 WA Primary

Addresses

Primary practice location

18825 Caldart Ave NE Ste B
Poulsbo, WA 98370-8714

Mailing address

18825 Caldart Ave NE Ste B
Poulsbo, WA 98370-8714
Phone (614) 623-3889

Other practice location 1

906 Ness Corner Rd
Port Hadlock, WA 98339-9429
Phone (614) 623-3889

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60954420WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Welling DDS PLLC CurrentSince Dec 27, 2020 Accepting new patients
Scott Welling DDS Inc General Practice Current Accepting new patients
Port Hadlock Dental Center Inc Past Accepting new patients

Locations

18825 Caldart Ave NE
#B
Poulsbo, WA 98370
Phone (360) 779-4141

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1265093009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18825 CALDART AVE NE STE B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708714",
            "telephone_number": "614-623-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18825 CALDART AVE NE STE B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708714",
            "telephone_number": "614-623-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Ness Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Port Hadlock",
            "state": "WA",
            "postal_code": "983399429",
            "country_code": "US",
            "telephone_number": "614-623-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLING",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60954420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.