Individual provider Active NPI

Garrett Welch, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
National Provider Identifier
1689932063
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D10853 Issued in OR
Practice address
1893 NE Neff Rd
Bend, OR 97701-6112
Phone
(541) 382-7981
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D10853 OR Primary

Addresses

Primary practice location

1893 NE Neff Rd
Bend, OR 97701-6112

Mailing address

1893 NE Neff Rd
Bend, OR 97701-6112
Phone (541) 382-7981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 2, 2018 through Aug 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D10853ORMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Facial and Oral Surgery Center LLC Oral and Maxillofacial Surgery CurrentSince May 29, 2022 Accepting new patients
Todd a Schock PC DMD MD PastSince May 29, 2022 Accepting new patients
K & L Oms LLC PastSince Jan 1, 2023 Accepting new patients
K & L Oms LLC Oral and Maxillofacial Surgery PastSince Jul 24, 2022 Accepting new patients

Locations

1893 NE Neff Rd
Bend, OR 97701
Phone (541) 382-1791

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1689932063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "541-382-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "541-382-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GARRETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D10853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.