Individual provider Active NPI

Lance Jonathan Welch, D.M.D

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1366504151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22746 Issued in TX
Practice address
7036 Antoine Dr
Houston, TX 77088-6613
Phone
(281) 260-8999
Fax
(281) 260-8866
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22746 TX Primary

Addresses

Primary practice location

7036 Antoine Dr
Houston, TX 77088-6613

Mailing address

5225 Katy Fwy Ste 104
Houston, TX 77007-2268
Phone (832) 673-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200602000578 MS Order and Referring Only - DentistPractitioner - Dentist 2365863271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22746TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dental Center General Practice Past Accepting new patients

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366504151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072268",
            "telephone_number": "832-673-0999",
            "fax_number": "281-657-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886613",
            "telephone_number": "281-260-8999",
            "fax_number": "281-260-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LANCE",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.