Gary R. Weldon, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3712 Issued in AL

Practice address

2110 Glenn Blvd SW
Suite a
Fort Payne, AL 35968-3527

Phone

(256) 845-5914

NPI assigned

May 22, 2008

Last updated

Sep 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1710145057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 GLENN BLVD SW",
            "address_2": "SUITE A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GLENN BLVD SW",
            "address_2": "SUITE A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683527",
            "telephone_number": "256-845-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "GARY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis Washington, LCSW
• Jessica Paige Watkins, RPT
• Jack Weaver Jr., LPC
• John Bennett Weaver II, MD
• Kristopher Ross Weemes, D.O.
• Megan Whatley
• Gregory Shawn Wheeler, N.P.
• Jana Wheeler
• Tony Arland White, M.D.
• Valerie Widgeon

• General Practice Dentistry in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.