Individual provider Active NPI

Alexandra T Welzel, DMD

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1700992419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12188 Issued in MD
Practice address
3900 N Charles St
Suite 112
Baltimore, MD 21218-1756
Phone
(410) 235-1233
Fax
(410) 235-1286
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12188 MD Primary

Addresses

Primary practice location

3900 N Charles St
Suite 112
Baltimore, MD 21218-1756

Mailing address

3900 N Charles St
Suite 112
Baltimore, MD 21218-1756
Phone (410) 235-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002567 MD Order and Referring Only - DentistPractitioner - Dentist 7719277649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12188MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr K Michael Murphy & Assoc., LLC Past Accepting new patients
Chesapeake Dental Group LLC PastSince Mar 12, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700992419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N CHARLES ST",
            "address_2": "SUITE 112",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181756",
            "telephone_number": "410-235-1233",
            "fax_number": "410-235-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N CHARLES ST",
            "address_2": "SUITE 112",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181756",
            "telephone_number": "410-235-1233",
            "fax_number": "410-235-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELZEL",
        "first_name": "ALEXANDRA",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.