Individual provider Active NPI

Andrew Welling, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bountiful, UT
National Provider Identifier
1760046635
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12198318-9926 Issued in UT
Practice address
59 W Pages LN # 100
Bountiful, UT 84010-5988
Phone
(801) 292-1222
NPI assigned
Apr 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12198318-9926 UT Primary

Addresses

Primary practice location

59 W Pages LN # 100
Bountiful, UT 84010-5988

Mailing address

59 W Pages LN # 100
Bountiful, UT 84010-5988
Phone (801) 292-1222

Other practice location 1

122 E State St
Farmington, UT 84025-2339
Phone (801) 451-6664

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

LicenseStateTypeSpecialty
12198318-9926UTMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1760046635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 W PAGES LN # 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105988",
            "telephone_number": "801-292-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 W PAGES LN # 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105988",
            "telephone_number": "801-292-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 E State St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252339",
            "country_code": "US",
            "telephone_number": "801-451-6664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLING",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "12198318-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.