Melissa Lynn Welty, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19455 Issued in TX

Practice address

6531 FM 2920 Rd
Spring, TX 77379

Phone

(832) 717-0595

Fax

(832) 717-0105

NPI assigned

Jun 1, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Lynn Castronovo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Klein Crossing Dental, P.a.

  • Dentist
  • Spring, TX
  • NPI 1073793303
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1316949670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "832-717-0595",
            "fax_number": "832-717-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "832-717-0595",
            "fax_number": "832-717-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-05-18",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CASTRONOVO",
            "middle_name": "LYNN",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raven Jarysha Wellington
• Wellness Synergy LLC
• Wellness Way Spring LLC
• Allison Floyd Wells, M.D.
• Roberta Wells, CRNA
• Marlene Wendel, NP
• Lindsey Luann Wendt, DDS
• Melissa Rosibel Wendt, FNP-BC
• Madison Wentz, RBT
• Lisa S. West, M.S., CCC-SLP

• General Practice Dentistry in Spring, TX
• Providers in Spring, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.