NPIMap

Organization Active NPI

Weldon Dental, P.C.

  • General Practice Dentistry
  • Rome, GA
National Provider Identifier
1689243966
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WELDON DENTAL, P.C.
Practice address
1013 N 5TH Ave NE Ste 6
Rome, GA 30165-2664
Phone
(706) 232-2082
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
David Ryan Weldon, D.M.D.NPI 1114238490
Title
Owner
Phone
(423) 304-8145

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1013 N 5TH Ave NE Ste 6
Rome, GA 30165-2664

Mailing address

1013 N 5TH Ave NE Ste 6
Rome, GA 30165-2664
Phone (706) 232-2082

National Provider Directory

National Provider Directory

Locations

1013 N 5th Ave NE
Ste 6
Rome, GA 30165
Phone (706) 232-2082

Practitioners & affiliated clinicians

Practitioners 1

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": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1689243966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 6",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-232-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 6",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-232-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDON DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-304-8145",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.