Organization Active NPI

Welter Family Dentistry, Inc.

  • Dentist
  • Prairie Du Chien, WI
National Provider Identifier
1750498481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0005616-015 Issued in WI
Legal business name
WELTER FAMILY DENTISTRY, INC.
Practice address
114 E Blackhawk Ave
Prairie Du Chien, WI 53821-1529
Phone
(608) 326-7445
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David C Welter
Title
Secretary/Treasurer
Phone
(608) 326-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0005616-015 WI Primary

Addresses

Primary practice location

114 E Blackhawk Ave
Prairie Du Chien, WI 53821-1529

Mailing address

114 E Blackhawk Ave
Prairie Du Chien, WI 53821-1529
Phone (608) 326-7445

National Provider Directory

National Provider Directory

Locations

114 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-7445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750498481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211529",
            "telephone_number": "608-326-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211529",
            "telephone_number": "608-326-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELTER FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "608-326-7445"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "0005616-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.