Organization Active NPI

Maurice J Welch DDS a Professional Corporation

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1295271492
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD0553 Issued in AK
Legal business name
MAURICE J WELCH DDS A PROFESSIONAL CORPORATION
Practice address
4450 Cordova St Ste 210
Anchorage, AK 99503-7273
Phone
(907) 563-4844
Fax
(907) 562-5758
NPI assigned
Jan 11, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Maurice James Welch, DDSNPI 1578623245
Title
Dentist/Owner
Phone
(907) 563-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD0553 AK Primary

Addresses

Primary practice location

4450 Cordova St Ste 210
Anchorage, AK 99503-7273

Mailing address

4450 Cordova St Ste 210
Anchorage, AK 99503-7273
Phone (907) 563-4844

Other identifiers 2

IdentifierTypeStateIssuer
DD0553OtherAKSTATE OF ALASKA LICENSE NUMBER
1003056MedicaidAK

National Provider Directory

National Provider Directory

Locations

4450 Cordova St
Ste 210
Anchorage, AK 99503
Phone (907) 563-4844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1295271492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CORDOVA ST STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037273",
            "telephone_number": "907-563-4844",
            "fax_number": "907-562-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CORDOVA ST STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037273",
            "telephone_number": "907-563-4844",
            "fax_number": "907-562-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE J WELCH DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "907-563-4844",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "DD0553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA LICENSE NUMBER",
            "identifier": "DD0553",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003056",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.