Clayton Conner Welch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC34740 Issued in CA

Practice address

1101 Standiford Ave Ste A6
Modesto, CA 95350-0981

Phone

(209) 522-0822

Fax

(209) 522-4563

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Welch Chiropractic Office Inc

  • Chiropractor
  • Modesto, CA
  • NPI 1235845454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1629600697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE A6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-522-0822",
            "fax_number": "209-522-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE A6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-522-0822",
            "fax_number": "209-522-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CLAYTON",
        "middle_name": "CONNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome M Weiss, M.D.
• Rebecca Walker Weiss
• Savannah Weist
• Welch Chiropractic Office
• Welch Chiropractic Office Inc
• Mark Duane Welch, D.C.
• Marla Larimer Welch, D.C.
• Henok Weldeslassie
• Shewit K Weldetensae, MD
• Sophia S Weldon

• Chiropractor in Modesto, CA
• Providers in Modesto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.