Individual provider Active NPI

Amber Dawn Welper, DDS

  • General Practice Dentistry
  • Laramie, WY
National Provider Identifier
1588046676
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1414 Issued in WY
Practice address
352 N 4TH St
Laramie, WY 82072-3106
Phone
(307) 745-5020
Fax
(307) 745-0856
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1414WYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Larame Dental Arts PC General Practice PastSince Jun 7, 2020 Accepting new patients
Clifford Olguin Dental Care Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1414 WY Primary

Addresses

NPPES NPI Registry

Primary practice location

352 N 4TH St
Laramie, WY 82072-3106

Mailing address

352 N 4TH St
Laramie, WY 82072-3106
Phone (307) 745-5020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
140858500MedicaidWY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2020.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1588046676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723106",
            "telephone_number": "307-745-5020",
            "fax_number": "307-745-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723106",
            "telephone_number": "307-745-5020",
            "fax_number": "307-745-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELPER",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140858500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.