NPIMap

Organization Active NPI

David Welton DDS, P.C.

Doing business as Serenity Dental

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1790472637
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVID WELTON DDS, P.C.
Doing business as
Serenity Dental
Practice address
15701 E Sprague Ave Ste F
Spokane Valley, WA 99037-5019
Phone
(509) 919-1471
Fax
(509) 381-5382
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mia Fowler
Title
Cfoo
Phone
(509) 919-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15701 E Sprague Ave Ste F
Spokane Valley, WA 99037-5019

Mailing address

15701 E Sprague Ave Ste F
Spokane Valley, WA 99037-5019
Phone (509) 919-1471

Other practice location 1

12 E Rowan Ave Ste 4
Spokane, WA 99207-1281
Phone (509) 483-2264

Other names 1

  • Serenity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12 E Rowan Ave
Ste 4
Spokane, WA 99207
Phone (509) 483-2264

Practitioners & affiliated clinicians

Practitioners 3

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1790472637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 E SPRAGUE AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375019",
            "telephone_number": "509-919-1471",
            "fax_number": "509-381-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 E SPRAGUE AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375019",
            "telephone_number": "509-919-1471",
            "fax_number": "509-381-5382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E Rowan Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071281",
            "country_code": "US",
            "telephone_number": "509-483-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID WELTON DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "CFOO",
        "authorized_official_telephone_number": "509-919-1471"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.