Individual provider Active NPI

Leonard Welch, DDS

  • Dentist
  • Columbus, OH
National Provider Identifier
1265492540
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30019298 Issued in OH
Practice address
1493 Parsons Ave
Columbus, OH 43207-1230
Phone
(614) 258-3880
Fax
(614) 252-5873
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30019298 OH Primary

Addresses

Primary practice location

1493 Parsons Ave
Columbus, OH 43207-1230

Mailing address

769 1/2 S 3Rd St
Columbus, OH 43206
Phone (614) 258-3880

Other identifiers 1

IdentifierTypeStateIssuer
0922649MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160211002035 OH Order and Referring Only - DentistPractitioner - Dentist 8729382700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30019298OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1265492540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 1/2 S 3RD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43206",
            "telephone_number": "614-258-3880",
            "fax_number": "614-252-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071230",
            "telephone_number": "614-258-3880",
            "fax_number": "614-252-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922649",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.