Susan M Welch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15821 Issued in FL

Practice address

106 Wright Pkwy SE
Fort Walton Beach, FL 32548

Phone

(850) 243-1534

Fax

(850) 243-7541

NPI assigned

Jul 20, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Susan M Welch, DDS PA

  • Dentist
  • Fort Walton Beach, FL
  • NPI 1467749309
  NPD (past) Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1558360552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WRIGHT PKWY SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "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 SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-243-1534",
            "fax_number": "850-243-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "66466",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Taylor Weinberg, MD
• Hilton Stephen Weiner, M.D.
• Ayela Denise Weiss
• Oveta L Welch, RN
• Roberta Leigh Welch, LCSW
• Morgan Dare Wellinski, CCC-SLP
• David Wells
• Wen Wen
• Jennifer Wenthur, APRN
• Kyla Wentz

• General Practice Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.