Active NPI
Lee A Welky, D.M.D.
- General Practice Dentistry
- Estero, FL
National Provider Identifier
1659438356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13308
- Practice address
- 21740 S. Tamiami Trail
Suite 111
Estero, FL 33928 - Phone
- (239) 949-8282
- Fax
- (239) 221-8477
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13308 | FL | Primary |
Addresses
Primary practice location
21740 S. Tamiami Trail
Suite 111
Estero, FL 33928
Mailing address
21740 S Tamiami TRL
Suite 111
Estero, FL 33928-2819
Phone (239) 949-8282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13308 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estero Bay Dental, PLLC | 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.
-
- General Practice Dentistry
- Estero, FL
- NPI 1174450548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1659438356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21740 S TAMIAMI TRL",
"address_2": "SUITE 111",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282819",
"telephone_number": "239-949-8282",
"fax_number": "239-221-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21740 S. TAMIAMI TRAIL",
"address_2": "SUITE 111",
"city": "ESTERO",
"state": "FL",
"postal_code": "33928",
"telephone_number": "239-949-8282",
"fax_number": "239-221-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKY",
"first_name": "LEE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "13308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.