NPIMap

Organization Active NPI

Susan M Welch, DDS PA

  • Dentist
  • Fort Walton Beach, FL
National Provider Identifier
1467749309
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15821 Issued in FL
Legal business name
SUSAN M WELCH, DDS PA
Doing business as
Wright Parkway Dental Center
Practice address
106 Wright Pkwy SW
Fort Walton Beach, FL 32548-5208
Phone
(850) 243-1534
Fax
(850) 243-7541
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Susan M Welch, DDSNPI 1558360552
Title
Owner/Dentist
Phone
(850) 243-1534

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15821 FL Primary

Addresses

Primary practice location

106 Wright Pkwy SW
Fort Walton Beach, FL 32548-5208

Mailing address

106 Wright Pkwy SW
Fort Walton Beach, FL 32548-5208
Phone (850) 243-1534

Other names 1

  • Wright Parkway Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

106 Wright Pkwy SW
Ft Walton Bch, FL 32548
Phone (850) 243-1534

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1467749309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WRIGHT PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485208",
            "telephone_number": "850-243-1534",
            "fax_number": "850-243-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WRIGHT PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485208",
            "telephone_number": "850-243-1534",
            "fax_number": "850-243-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M WELCH, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "850-243-1534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Parkway Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.