Active NPI
James M Welden Jr., DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dothan, AL
National Provider Identifier
1720182199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3136
- Practice address
- 2803 Ross Clark Circle
Suite #1
Dothan, AL 36301 - Phone
- (334) 793-5397
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3136 | AL | Primary |
Addresses
Primary practice location
2803 Ross Clark Circle
Suite #1
Dothan, AL 36301
Mailing address
2803 Ross Clark Circle
Suite #1
Dothan, AL 36301
Phone (334) 793-5397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97397 | Other | AL | BCBS OF ALABAMA |
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 |
|---|---|---|---|
| 3136 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720182199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 ROSS CLARK CIRCLE",
"address_2": "SUITE #1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-793-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 ROSS CLARK CIRCLE",
"address_2": "SUITE #1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-793-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDEN",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "3136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "97397",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.